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General NPI Number Information
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NPI Number | 1164104238
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Entity Type | Individual
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Provider Name | ANNA WALKER MSN, APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 3808 W RIVERSIDE DR STE 406
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City | BURBANK
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State | CA
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Zip | 91505-5301
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Country | US
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Telephone | 310-765-9019
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Fax | 310-765-9019
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Provider Business Mailing Address
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Address Line | 3808 W. RIVERSIDE DR SUITE 406
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City | BURBANK
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State | CA
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Zip | 91505-4325
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Country | US
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Telephone | 310-765-9019
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Fax | 310-765-9019
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95026321
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95179772
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License Number State | CA
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