Provider Demographics
NPI:1881949386
Name:WALTERS, AMYE DIANA (NP)
Entity type:Individual
Prefix:MRS
First Name:AMYE
Middle Name:DIANA
Last Name:WALTERS
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:740 HOSPITAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4664
Mailing Address - Country:US
Mailing Address - Phone:409-212-8111
Mailing Address - Fax:409-981-1791
Practice Address - Street 1:740 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4664
Practice Address - Country:US
Practice Address - Phone:409-212-8111
Practice Address - Fax:409-981-1791
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2022-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX749712363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily