Healthcare Provider Details

I. General information

NPI: 1255749560
Provider Name (Legal Business Name): CATHERINE WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 23RD AVE N STE 600
NASHVILLE TN
37203-1661
US

IV. Provider business mailing address

330 23RD AVE N STE 600
NASHVILLE TN
37203-1661
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-4640
  • Fax: 615-342-4642
Mailing address:
  • Phone: 615-340-4640
  • Fax: 615-340-4642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number190094
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18939
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2014006656
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberCAM1-0438-5836
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: