Healthcare Provider Details

I. General information

NPI: 1003008913
Provider Name (Legal Business Name): SANDRA K WALKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA K SCHUMACHER

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

325 9TH AVE
SEATTLE WA
98104-0366
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-0502
  • Fax: 206-598-0516
Mailing address:
  • Phone: 206-598-0502
  • Fax: 206-598-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP30007260
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: