Healthcare Provider Details

I. General information

NPI: 1760070205
Provider Name (Legal Business Name): CHELSEA RUTHANNE WALKER DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTH DR
EDEN PRAIRIE MN
55344-2955
US

IV. Provider business mailing address

5781 MCCORMICK RD
MOUNT STERLING KY
40353-7812
US

V. Phone/Fax

Practice location:
  • Phone: 888-445-8745
  • Fax:
Mailing address:
  • Phone: 606-359-4026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3015004
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3015004
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: