Healthcare Provider Details

I. General information

NPI: 1841761731
Provider Name (Legal Business Name): ZOEY WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 N MAIN ST
WEST HARTFORD CT
06117-2674
US

IV. Provider business mailing address

309 N MAIN ST
WEST HARTFORD CT
06117-2674
US

V. Phone/Fax

Practice location:
  • Phone: 860-216-2007
  • Fax:
Mailing address:
  • Phone: 860-216-2007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8013
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: