Provider Demographics
NPI:1457223950
Name:WALTERS, DORIS (RN)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 HENRY AND JOHNSON LN
Mailing Address - Street 2:
Mailing Address - City:HUSTLE
Mailing Address - State:VA
Mailing Address - Zip Code:22476-2011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1267 TAPPAHANNOCK BLVD UNIT 7
Practice Address - Street 2:
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-9368
Practice Address - Country:US
Practice Address - Phone:757-589-6870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001241372163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty