Rachel A Walz, CNS

Individual provider Active NPI Adult Health Clinical Nurse Specialist · Olivia, MN

NPI 1346480464 · NPPES record last updated Mar 2, 2009

Key facts

NPI
1346480464
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Clinical Nurse Specialist 364SA2200X
License
2008004437 (MN)
Practice address
611 E Fairview Ave
Olivia, MN 56277-4213
Phone
(320) 523-1261
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
2008004437MNMDAdult Health Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 2008004437 MN Yes

Addresses

Primary practice location

611 E Fairview Ave
Olivia, MN 56277-4213

Mailing address

611 E Fairview Ave
Olivia, MN 56277-4213
Phone (320) 523-1261

Other providers in Olivia, MN

All providers in Olivia, MN · Adult Health Clinical Nurse Specialist in Minnesota

Sources for this page

Verify at the official NPI Registry.