Provider Demographics
NPI:1114728284
Name:WALKER, CHA'TEARIA
Entity type:Individual
Prefix:
First Name:CHA'TEARIA
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3250
Mailing Address - Country:US
Mailing Address - Phone:757-895-1992
Mailing Address - Fax:
Practice Address - Street 1:11028 WARWICK BLVD STE F
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3253
Practice Address - Country:US
Practice Address - Phone:757-895-1992
Practice Address - Fax:757-606-9038
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide