MEDICARE: DR. NANCY BRILEY WALKER M.D.

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	207Q00000X	Family Medicine Physician	200609	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235279043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY BRILEY WALKER M.D.

Provider Business Mailing Address
First Line	:	11 BAYOU OAKS DR
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-6700
Country	:	US
Telephone Number	:	337-783-4043
Fax Number	:	337-783-4053

Provider Business Practice Location Address
First Line	:	1325 WRIGHT AVE STE A
Second Line	:
City	:	CROWLEY
State	:	LA
Zip	:	70526-2226
Country	:	US
Telephone Number	:	337-783-4043
Fax Number	:	337-783-4053

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/29/2020

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