Healthcare Provider Details

I. General information

NPI: 1932545522
Provider Name (Legal Business Name): ROBIN HALL-WALKER CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 CASCADING ST
HENDERSON NV
89074-8720
US

IV. Provider business mailing address

PO BOX 27888
LAS VEGAS NV
89126-1888
US

V. Phone/Fax

Practice location:
  • Phone: 702-373-1265
  • Fax:
Mailing address:
  • Phone: 702-258-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: