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NPI Code Detail

MEDICARE: NICOLE MARIE WALKER MS

MEDICARE: NICOLE MARIE WALKER MS
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
1106H00000XMarriage & Family TherapistMI4038NV

General Provider Information

NPI Number : 1669180329
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE WALKER MS
Provider Business Mailing Address
First Line : 6820 RIO SANDS CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1682
Country : US
Telephone Number : 702-327-5504
Fax Number :
Provider Business Practice Location Address
First Line : 7251 W LAKE MEAD BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-8380
Country : US
Telephone Number : 702-327-5504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 05/06/2026

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Directions to “ NICOLE MARIE WALKER MS” Practice Location

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