Provider Demographics
NPI:1316135163
Name:WALKER, SCOTT F (DC, NP-C)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 HANCOCK CT NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4594
Mailing Address - Country:US
Mailing Address - Phone:505-322-2510
Mailing Address - Fax:505-639-5497
Practice Address - Street 1:7401 HANCOCK CT NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-322-2510
Practice Address - Fax:505-639-5497
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1709111N00000X
NMCNP-01993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM$$$$$$$$$Medicare PIN