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NPI Code Detail

MEDICARE: MS. MICHELLE CORNWELL WALKER CRNA

MEDICARE: MS. MICHELLE CORNWELL WALKER CRNA
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
1367500000XCertified Registered Nurse Anesthetist181094NC

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 : 1417955931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE CORNWELL WALKER CRNA
Provider Business Mailing Address
First Line : 424 CREEKSTONE DR
Second Line :
City : BANNER ELK
State : NC
Zip : 28604-7047
Country : US
Telephone Number : 828-963-2824
Fax Number :
Provider Business Practice Location Address
First Line : 1370 W D ST
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3506
Country : US
Telephone Number : 336-651-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/31/2007

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