Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Walter Carl Credle IV, PA

Individual provider Physician Assistant · NPI 1598363541

Mr. Walter Carl Credle IV, PA is a Physician Assistant in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

400 Shadowline Dr Ste 204
Boone, NC 28607-5022
Phone: (704) 237-4240
Fax: (877) 847-0561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10976 (NC)

Record details

NPI number1598363541
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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