Healthcare Provider Details

I. General information

NPI: 1134759632
Provider Name (Legal Business Name): ASHLEY MARIE WALKER APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7675 WELLNESS WAY
WEST CHESTER OH
45069-2509
US

IV. Provider business mailing address

2830 VICTORY PKWY
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8588
  • Fax: 513-475-4598
Mailing address:
  • Phone: 513-245-3031
  • Fax: 513-585-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN.CNP.026227
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: