Healthcare Provider Details

I. General information

NPI: 1346346657
Provider Name (Legal Business Name): DELORES ANGELA WALKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 S KOFA AVE
PARKER AZ
85344-5021
US

IV. Provider business mailing address

2205 AITKIN LOOP
LEESBURG FL
34748
US

V. Phone/Fax

Practice location:
  • Phone: 928-669-5319
  • Fax: 928-575-4425
Mailing address:
  • Phone: 352-291-5500
  • Fax: 352-291-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP 2166112
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP11249
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP 2166112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: