Healthcare Provider Details

I. General information

NPI: 1316135163
Provider Name (Legal Business Name): SCOTT F WALKER DC, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 HANCOCK CT NE SUITE B
ALBUQUERQUE NM
87109
US

IV. Provider business mailing address

7401 HANCOCK CT NE STE A
ALBUQUERQUE NM
87109-4594
US

V. Phone/Fax

Practice location:
  • Phone: 505-322-2510
  • Fax: 505-639-5497
Mailing address:
  • Phone: 505-322-2510
  • Fax: 505-639-5497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-01993
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1709
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: