Healthcare Provider Details

I. General information

NPI: 1265709034
Provider Name (Legal Business Name): DOROTHY ELIZABETH WALKER NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST # 6
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-3000
  • Fax:
Mailing address:
  • Phone: 806-352-0126
  • Fax: 806-352-0126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number2026028085
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95006033
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAP131910
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP131910
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: