Doctor Name: | CAROLYN R WALKER |
NPI Number: | 1003865486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A075984 |
Business Practice Address: | 6901 Hickman Rd Urbandale, IA - 503224805 |
Business Phone Number: | 5157274141 |
Business Fax Number: | |
Mailing Address: | 1734 Nw 108th St, CLIVE |
State: | IA |
Postal Code: | 503257026 |
Phone Number: | 5152230527 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A075984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |