Teresa Cantrell Walters, FNP is a
Nurse Practitioner - Family based in Russell, Pennsylvania. Teresa Cantrell Walters is licensed to practice in Pennsylvania (license number SP032543) and her current practice location is
20 Pinegrove Blvd, Russell, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(205) 452-9789.
NPI number for Teresa Cantrell Walters is 1649017807 and her current mailing address is 3132 Sydenton Dr, Hoover, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649017807.
Provider's Profile
Full Name | Teresa Cantrell Walters |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 20 Pinegrove Blvd, Russell, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649017807
- Provider Enumeration Date: 07/13/2024
- Last Update Date: 04/25/2025
Medical Identifiers
Medical identifiers for Teresa Cantrell Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649017807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 1-168597 (Alabama) | Secondary |
163W00000X | Registered Nurse | RN800330 (Pennsylvania) | Secondary |
163W00000X | Registered Nurse | 975616 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1-168597 (Alabama) | Secondary |
363LF0000X | Nurse Practitioner - Family | 356260 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP032543 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Cantrell Walters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Teresa Cantrell Walters, FNP 3132 Sydenton Dr, Hoover, AL 35244-5627 Ph: (205) 452-9789 | Teresa Cantrell Walters, FNP 20 Pinegrove Blvd, Russell, PA 16345-1118 Ph: (205) 452-9789 |
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