Healthcare Provider Details

I. General information

NPI: 1982525838
Provider Name (Legal Business Name): RAESHELL WALKER CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S NEEDLES HWY STE 500
LAUGHLIN NV
89029-0815
US

IV. Provider business mailing address

3100 S NEEDLES HWY STE 500
LAUGHLIN NV
89029-0815
US

V. Phone/Fax

Practice location:
  • Phone: 702-703-1262
  • Fax:
Mailing address:
  • Phone: 702-703-1262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: