Healthcare Provider Details

I. General information

NPI: 1922985480
Provider Name (Legal Business Name): MONIKA SADE WALKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 BROADWAY
CROWN POINT IN
46307-9830
US

IV. Provider business mailing address

7194 BRIELLA DR
BOYNTON BEACH FL
33437-3764
US

V. Phone/Fax

Practice location:
  • Phone: 832-869-4818
  • Fax:
Mailing address:
  • Phone: 707-280-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11040788
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71017020A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: