MEDICARE: MS. GISELA HANNELORE WALKER NP

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	47253	CO

General Provider Information

NPI Number	:	1689742504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GISELA HANNELORE WALKER NP

Provider Business Mailing Address
First Line	:	29536 CTY RD 5
Second Line	:
City	:	ELIZABETH
State	:	CO
Zip	:	80107
Country	:	US
Telephone Number	:	303-646-4885
Fax Number	:	719-775-7651

Provider Business Practice Location Address
First Line	:	29536 CTY RD 5
Second Line	:
City	:	ELIZABETH
State	:	CO
Zip	:	80107
Country	:	US
Telephone Number	:	303-646-4885
Fax Number	:	719-775-7651

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	08/22/2013

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