Healthcare Provider Details

I. General information

NPI: 1346919024
Provider Name (Legal Business Name): DANIELLE WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 FOREST HILL AVE STE 100
RICHMOND VA
23235-6876
US

IV. Provider business mailing address

6731 FRONTIER DR # 1136
SPRINGFIELD VA
22150-1412
US

V. Phone/Fax

Practice location:
  • Phone: 615-478-6748
  • Fax:
Mailing address:
  • Phone: 775-464-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN94244
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024191392
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: