MEDICARE: MS. BROOKE L. WALKER APRN

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	RN15893	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	941196203	OTHER	NV	NELL J REDFIELD COMMUNITY CLINICS

General Provider Information

NPI Number	:	1619012499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BROOKE L. WALKER APRN

Provider Business Mailing Address
First Line	:	680 S ROCK BLVD
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-4113
Country	:	US
Telephone Number	:	775-870-4334
Fax Number	:	775-870-4634

Provider Business Practice Location Address
First Line	:	5295 SUN VALLEY BLVD
Second Line	:	SUITE 5
City	:	SUN VALLEY
State	:	NV
Zip	:	89433-7954
Country	:	US
Telephone Number	:	775-870-4334
Fax Number	:	775-870-4634

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/25/2015

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