MEDICARE: MICHELLE ELIZABETH WALKER BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1033053319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ELIZABETH WALKER BSN, RN

Provider Business Mailing Address
First Line	:	998 DEER TRAIL RD
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81303-7607
Country	:	US
Telephone Number	:	970-799-3730
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 RIVERGATE LN
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-7487
Country	:	US
Telephone Number	:	970-247-3537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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