MEDICARE: TERENCE L WALKER ARNP

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	101YM0800X	Mental Health Counselor	AP30001957	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30001957	WA
3	104100000X	Social Worker	LW00004350	WA

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	:	1467428235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERENCE L WALKER ARNP

Provider Business Mailing Address
First Line	:	PO BOX 8051
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98908-0051
Country	:	US
Telephone Number	:	509-469-1903
Fax Number	:	509-469-1905

Provider Business Practice Location Address
First Line	:	1460 N 16TH AVE STE G
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-7102
Country	:	US
Telephone Number	:	509-575-7750
Fax Number	:	509-575-7769

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/24/2010

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