MEDICARE: MRS. ELIZABETH ANN DAVIS WALKER N.P.

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	363LF0000X	Family Nurse Practitioner	035551021	OH
2	363LA2200X	Adult Health Nurse Practitioner	0355510-21	OH
3	363L00000X	Nurse Practitioner	APRN.CNP.06487	OH

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	:	1508978206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN DAVIS WALKER N.P.

Provider Business Mailing Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-417-3250
Fax Number	:	216-417-3251

Provider Business Practice Location Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-417-3250
Fax Number	:	216-417-3251

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/25/2026

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