MEDICARE: DR. TOMAS C. WALKER DNP, APRN, BC-ADM

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	APN00407	NV
2	363LF0000X	Family Nurse Practitioner	APRN00407	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN00407	OTHER	NV	NEVADA STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1891791802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOMAS C. WALKER DNP, APRN, BC-ADM

Provider Business Mailing Address
First Line	:	PO BOX 33906
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89533-3906
Country	:	US
Telephone Number	:	702-809-3019
Fax Number	:	702-664-0578

Provider Business Practice Location Address
First Line	:	6340 SEQUENCE DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4356
Country	:	US
Telephone Number	:	702-260-0993
Fax Number	:	702-664-0578

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/31/2023

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