MEDICARE: MRS. BARBARA COTTON WALKER NP

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	AP03559	LA

General Provider Information

NPI Number	:	1982607396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA COTTON WALKER NP

Provider Business Mailing Address
First Line	:	PO BOX 122205 DEPT 2205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75312-0001
Country	:	US
Telephone Number	:	337-494-2921
Fax Number	:	337-494-6523

Provider Business Practice Location Address
First Line	:	1717 OAK PARK BLVD FL 1
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-8977
Country	:	US
Telephone Number	:	337-494-6800
Fax Number	:	337-494-6761

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/19/2022

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