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NPI Code Detail

MEDICARE: MRS. SANDRA WALKER

MEDICARE: MRS. SANDRA WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN188878LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134114721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA WALKER
Provider Business Mailing Address
First Line : 1 HOSPITAL DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-9350
Country : US
Telephone Number : 570-522-2499
Fax Number : 570-768-3911
Provider Business Practice Location Address
First Line : 1 HOSPITAL DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-9350
Country : US
Telephone Number : 570-522-2499
Fax Number : 570-768-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/29/2015

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Directions to “ MRS. SANDRA WALKER ” Practice Location

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