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NPI Code Detail

MEDICARE: ARLENE YVETTE WALKER

MEDICARE: ARLENE YVETTE 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1699965400
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE YVETTE WALKER
Provider Business Mailing Address
First Line : 4123 E LAKE ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-2255
Country : US
Telephone Number : 612-728-2081
Fax Number : 612-729-2616
Provider Business Practice Location Address
First Line : 4123 E LAKE ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-2255
Country : US
Telephone Number : 612-728-2081
Fax Number : 612-729-2616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2007
Last Update Date : 02/07/2014

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Directions to “ ARLENE YVETTE WALKER ” Practice Location

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