Healthcare Provider Details

I. General information

NPI: 1306458237
Provider Name (Legal Business Name): ROSANNA WALKER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 W ALEXANDER AVE
GREENWOOD SC
29646-4031
US

IV. Provider business mailing address

104 WELLS AVE
GREENWOOD SC
29646-3837
US

V. Phone/Fax

Practice location:
  • Phone: 864-227-9393
  • Fax: 864-227-9377
Mailing address:
  • Phone: 864-725-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24221
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: