MEDICARE: DR. DEBORAH SUE WALKER DNSC, WHNP, CNM, FNP

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
1	363LF0000X	Family Nurse Practitioner	4704205508	MI
2	363LW0102X	Women's Health Nurse Practitioner	4704205508	MI
3	367A00000X	Advanced Practice Midwife	4704205508	MI

General Provider Information

NPI Number	:	1508867813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH SUE WALKER DNSC, WHNP, CNM, FNP

Provider Business Mailing Address
First Line	:	6180 1ST RD
Second Line	:
City	:	SUPERIOR TOWNSHIP
State	:	MI
Zip	:	48198-9647
Country	:	US
Telephone Number	:	734-995-0428
Fax Number	:

Provider Business Practice Location Address
First Line	:	6180 1ST RD
Second Line	:
City	:	SUPERIOR TOWNSHIP
State	:	MI
Zip	:	48198-9647
Country	:	US
Telephone Number	:	734-995-0428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/11/2025

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