Most Relevant Information
Provider Data
| NPI Number: | 1003645979 |
| Provider Name: | ELENA WALTERMAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 95030687 |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
2315 STOCKTON BLVD STE 1507
SACRAMENTO
CA
958172201
Practice Location Phone/Fax
| Phone: | 9167342387 |
| Fax: |
Provider Mailing Location
2315 STOCKTON BLVD STE 1507
SACRAMENTO
CA
958172201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |