Whalio Doctors

NPI 1215287917

Jennifer Ann Walters, CNM

Practitioner Advanced Practice Midwife Manchester, CT

Practice location

Address
388 W Center St, Manchester, CT 06040-4735
Phone
(860) 649-1120
Fax
(860) 645-8541
Mailing address
50 Timber Ter, Cary, IL 60013-1555

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 1010134298 (VT)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 000373 (CT)

Registry record

NPI
1215287917
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Sep 2012
Record last updated
18 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.