MEDICARE: WALKER HEALTH CARE PLLC

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	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1316879760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER HEALTH CARE PLLC

Provider Business Mailing Address
First Line	:	11225 N 28TH DR STE F114
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11225 N 28TH DR STE F114
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5606
Country	:	US
Telephone Number	:	480-210-4353
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY WALKER
Credential	:
Telephone Number	:	480-210-4353

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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