Healthcare Provider Details

I. General information

NPI: 1477054112
Provider Name (Legal Business Name): NANCY ANNE WALKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 E MITCHELL AVE APT 4
CINCINNATI OH
45217-1836
US

IV. Provider business mailing address

588 E MITCHELL AVE APT 4
CINCINNATI OH
45217-1836
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-2147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number158795
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: