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NPI Code Detail

MEDICARE: CHERYL A WALKER APRN

MEDICARE: CHERYL A WALKER APRN
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
1363LG0600XGerontology Nurse Practitioner022943CT

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 : 1730182353
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL A WALKER APRN
Provider Business Mailing Address
First Line : 3 HERON RD
Second Line :
City : MYSTIC
State : CT
Zip : 06355-3253
Country : US
Telephone Number : 860-536-6442
Fax Number : 860-536-6442
Provider Business Practice Location Address
First Line : 3 HERON RD
Second Line :
City : MYSTIC
State : CT
Zip : 06355-3253
Country : US
Telephone Number : 860-536-6442
Fax Number : 860-536-6442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/28/2008

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