Provider Demographics
NPI:1194702688
Name:WALKER, STEPHEN HARVIE (CRNP)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:HARVIE
Last Name:WALKER
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Gender:M
Credentials:CRNP
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Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-5248
Mailing Address - Fax:215-590-1340
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-5248
Practice Address - Fax:215-590-1340
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2011-04-06
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Provider Licenses
StateLicense IDTaxonomies
NJ26NC05789400364SP0200X
PASP010282363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics