MEDICARE: DANIELLE 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	163W00000X	Registered Nurse	RN94244	NV
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024191392	VA
3	367A00000X	Advanced Practice Midwife

General Provider Information

NPI Number	:	1346919024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE WALKER

Provider Business Mailing Address
First Line	:	6731 FRONTIER DR # 1136
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-1412
Country	:	US
Telephone Number	:	775-464-0743
Fax Number	:

Provider Business Practice Location Address
First Line	:	9221 FOREST HILL AVE STE 100
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-6876
Country	:	US
Telephone Number	:	615-478-6748
Fax Number	:

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

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	01/29/2026

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Directions to “ DANIELLE WALKER ” Practice Location

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