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NPI Code Detail

MEDICARE: EVELYN M WALKER ARNP

MEDICARE: EVELYN M 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
1363LF0000XFamily Nurse Practitioner3256232FL
2363LP2300XPrimary Care Nurse Practitioner3256232FL
3363LF0000XFamily Nurse Practitioner0017139446VA

General Provider Information

NPI Number : 1760459226
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN M WALKER ARNP
Provider Business Mailing Address
First Line : PO BOX 1460
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22402-1460
Country : US
Telephone Number : 540-786-2100
Fax Number : 540-786-0677
Provider Business Practice Location Address
First Line : 300 PARK HILL DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-3387
Country : US
Telephone Number : 540-786-2100
Fax Number : 540-786-0677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 08/19/2009

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