Provider Demographics
NPI:1811181415
Name:WALPIN, LOUISE R (MS, APN, BC)
Entity type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:R
Last Name:WALPIN
Suffix:
Gender:F
Credentials:MS, APN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 W STATE ST
Mailing Address - Street 2:CATHOLIC CHARITIES DIOCESE OF TRENTON
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-5705
Mailing Address - Country:US
Mailing Address - Phone:609-394-5181
Mailing Address - Fax:609-278-6139
Practice Address - Street 1:25 IKEA DR
Practice Address - Street 2:DELAWARE HOUSE
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5115
Practice Address - Country:US
Practice Address - Phone:609-367-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC10098700364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S 59895Medicare UPIN