Healthcare Provider Details

I. General information

NPI: 1336500404
Provider Name (Legal Business Name): BRITNEY WALKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD STE 2100
NEWARK DE
19713-7000
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD STE 2100
NEWARK DE
19713-7000
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4530
  • Fax: 302-623-4578
Mailing address:
  • Phone: 302-623-4530
  • Fax: 302-623-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA058147
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0001053
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: