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General NPI Number Information
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NPI Number | 1730730771
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Entity Type | Individual
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Provider Name | TAMARA SUE WALKER PNP, PMHNP, PMHS
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Gender | Female
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1208 HILLTOP DR STE 103
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5858
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Country | US
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Telephone | 307-371-2427
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Fax | 307-224-2128
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Provider Business Mailing Address
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Address Line | 1208 HILLTOP DR STE 103
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5858
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Country | US
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Telephone | 307-212-6082
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Fax | 307-224-2128
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 44082
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 44082
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License Number State | WY
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