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NPI Code Detail

MEDICARE: MS. AMY E WALKER ACNP-BC

MEDICARE: MS. AMY E WALKER ACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner71002499AIN
2363LA2100XAcute Care Nurse Practitioner3005053KY
3363L00000XNurse Practitioner71002499AIN
4208VP0014XInterventional Pain Medicine Physician71002499AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962592956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY E WALKER ACNP-BC
Provider Business Mailing Address
First Line : 1101 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8016
Country : US
Telephone Number : 812-477-7246
Fax Number : 812-477-7240
Provider Business Practice Location Address
First Line : 1101 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8016
Country : US
Telephone Number : 812-477-7246
Fax Number : 812-477-7240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 03/08/2017

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