Healthcare Provider Details

I. General information

NPI: 1467762195
Provider Name (Legal Business Name): ABAYOMI M WALKER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 16TH. ST., N.W.
WASHINGTON DC
20036
US

IV. Provider business mailing address

1108 16TH. ST., N.W.
WASHINGTON DC
20036
US

V. Phone/Fax

Practice location:
  • Phone: 202-347-8500
  • Fax: 202-783-3219
Mailing address:
  • Phone: 202-347-8500
  • Fax: 202-783-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN1019040
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: