Healthcare Provider Details

I. General information

NPI: 1679437818
Provider Name (Legal Business Name): ABIGAIL LEE WALKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 SAINT JOHNS RD STE D
LIMA OH
45804-4029
US

IV. Provider business mailing address

8444 N 90TH ST STE 100
SCOTTSDALE AZ
85258-4437
US

V. Phone/Fax

Practice location:
  • Phone: 567-940-9145
  • Fax: 567-940-9803
Mailing address:
  • Phone: 602-248-8886
  • Fax: 602-854-0504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.193225
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: