NPI Code Details Logo

NPI 1346506466

NPI 1346506466 : ANDREA A WALKER APRN-BC : LAKE PLACID, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346506466
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREA A WALKER APRN-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/03/2012
-----------------------------------------------------
    Last Update Date     |    06/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    113 HEALTH WAY 
-----------------------------------------------------
    City                 |    LAKE PLACID
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33852-4716
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    863-465-7010
-----------------------------------------------------
    Fax                  |    863-465-4223
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2675 WINKLER AVE FL 2 
-----------------------------------------------------
    City                 |    FORT MYERS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33901-9342
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    778-563-7748
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    ARNP9279916
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.