Provider Demographics
NPI:1063183325
Name:WALKER, REBECCA ELIZABETH (TM, IPM)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:TM, IPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18750 COUNTY ROAD 431
Mailing Address - Street 2:
Mailing Address - City:SWAN RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55784-3075
Mailing Address - Country:US
Mailing Address - Phone:218-360-0157
Mailing Address - Fax:
Practice Address - Street 1:18750 COUNTY ROAD 431
Practice Address - Street 2:
Practice Address - City:SWAN RIVER
Practice Address - State:MN
Practice Address - Zip Code:55784-3075
Practice Address - Country:US
Practice Address - Phone:218-360-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-25
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife