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Contact Information

EMILEY E WALTS, PA
1474 MAIN ST
SANFORD, ME04073
 Phone: 207-608-8425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EMILEY E WALTS · (Female)

NPI # 1851179980
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/19/2023
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • ME License # ME2919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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