Doctor Name: | ANDREA A WALKER |
NPI Number: | 1346506466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-BC |
License Number: | ARNP9279916 |
Business Practice Address: | 225 Us 27 S Lake Placid, FL - 338527920 |
Business Phone Number: | 8636999977 |
Business Fax Number: | 8636999976 |
Mailing Address: | 105 Tomoka Blvd S, LAKE PLACID |
State: | FL |
Postal Code: | 338528123 |
Phone Number: | 8634657010 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9279916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |