Provider Demographics
NPI:1982435210
Name:WALTERS, DANIELA (FNP)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GLENARM PL APT 1004
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-4315
Mailing Address - Country:US
Mailing Address - Phone:978-844-1208
Mailing Address - Fax:
Practice Address - Street 1:2240 BLAKE ST STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2058
Practice Address - Country:US
Practice Address - Phone:866-628-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999962-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily