Healthcare Provider Details

I. General information

NPI: 1710128863
Provider Name (Legal Business Name): MS. NONA S WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2009
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 HOPKINS ST.
DARBY MT
59829
US

IV. Provider business mailing address

PO BOX 16 302 HOPKINS STREET
DARBY MT
59829-0016
US

V. Phone/Fax

Practice location:
  • Phone: 406-821-3337
  • Fax:
Mailing address:
  • Phone: 406-821-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: