Elizabeth J Walters, CNM

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

25ME00014901 Issued in NJ

Practice address

21 Wiggins St
Princeton, NJ 08540-6914

Phone

(609) 683-5155

Fax

(609) 683-9507

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1053557546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MOUNT LUCAS RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WIGGINS ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406914",
            "telephone_number": "609-683-5155",
            "fax_number": "609-683-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NJ",
            "license": "25ME00014901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christian Wall
• Amber Wallace, PT,DPT
• Brian J Wallace, PA
• Anne Batterberry Walsh
• Beata Walters, APN
• Courtney Wance
• Bo Wang, DDS, MD
• Ivana Wang, M.S. CCC-SLP
• Warby Parker Inc.
• Warby Parker Inc.

• Women's Health Clinical Nurse Specialist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Women's Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.