MEDICARE: ANDI WALKER

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1043165905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDI WALKER

Provider Business Mailing Address
First Line	:	4251 ILIUM AVE APT 3201
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2282
Country	:	US
Telephone Number	:	513-406-4707
Fax Number	:

Provider Business Practice Location Address
First Line	:	4251 ILIUM AVE APT 3201
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2282
Country	:	US
Telephone Number	:	513-406-4707
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ ANDI WALKER ” Practice Location

Language	Start Address	Practice Location

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