Healthcare Provider Details

I. General information

NPI: 1316879760
Provider Name (Legal Business Name): WALKER HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11225 N 28TH DR STE F114
PHOENIX AZ
85029-5606
US

IV. Provider business mailing address

11225 N 28TH DR STE F114
PHOENIX AZ
85029-5606
US

V. Phone/Fax

Practice location:
  • Phone: 480-210-4353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY WALKER
Title or Position: OWNER
Credential:
Phone: 480-210-4353