Provider Demographics
NPI:1215431853
Name:WALKER, CHRISTINA ROSE (APRN/CNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ROSE
Last Name:WALKER
Suffix:
Gender:F
Credentials:APRN/CNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:R
Other - Last Name:LEONARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:2100 S COLUMBIA RD STE 114
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5895
Mailing Address - Country:US
Mailing Address - Phone:701-516-4637
Mailing Address - Fax:877-651-1381
Practice Address - Street 1:2100 S COLUMBIA RD STE 114
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5895
Practice Address - Country:US
Practice Address - Phone:701-516-4637
Practice Address - Fax:877-651-1381
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR36874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily