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NPI Code Detail

MEDICARE: MRS. JACQUELINE GARALDE WALKER FNP

MEDICARE:  MRS. JACQUELINE GARALDE WALKER  FNP
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
1163WH0200XHome Health Registered NurseRN73810NV
2363L00000XNurse Practitioner817139NV

Other Identifiers

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

General Provider Information

NPI Number : 1306276837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JACQUELINE GARALDE WALKER FNP
Provider Business Mailing Address
First Line : 9504 SUMMER CYPRESS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-3930
Country : US
Telephone Number : 702-580-7997
Fax Number :
Provider Business Practice Location Address
First Line : 3750 S JONES BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2209
Country : US
Telephone Number : 702-444-7744
Fax Number : 702-444-7898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 01/18/2019

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Directions to “ MRS. JACQUELINE GARALDE WALKER FNP” Practice Location

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