Healthcare Provider Details

I. General information

NPI: 1386702967
Provider Name (Legal Business Name): MARIE F WALKER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8836 N 23RD AVE STE B1
PHOENIX AZ
85021-4175
US

IV. Provider business mailing address

3003 N CENTRAL AVE STE 305
PHOENIX AZ
85012-2904
US

V. Phone/Fax

Practice location:
  • Phone: 602-944-9810
  • Fax: 602-944-1547
Mailing address:
  • Phone: 602-952-3400
  • Fax: 602-952-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP6011
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: