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NPI Code Detail

MEDICARE: NERAYMEAH WALKER

MEDICARE: NERAYMEAH 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
1163WR0006XRegistered Nurse First Assistant1303060IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11930197173OTHERINLICENSE

General Provider Information

NPI Number : 1134755200
Entity Type Code : Individual
Provider Name (Legal Business Name) : NERAYMEAH WALKER
Provider Business Mailing Address
First Line : 5213 CIDER MILL LN # A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-1817
Country : US
Telephone Number : 317-744-3889
Fax Number :
Provider Business Practice Location Address
First Line : 5213 CIDER MILL LN # A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-1817
Country : US
Telephone Number : 317-744-3889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 03/20/2020

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Directions to “ NERAYMEAH WALKER ” Practice Location

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