Provider Demographics
NPI:1316945785
Name:WALKER, CECELIA ANN (CRNA)
Entity type:Individual
Prefix:
First Name:CECELIA
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CECELIA
Other - Middle Name:ANN
Other - Last Name:CARDINALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CECELIA ANN SMITH
Mailing Address - Street 1:PO BOX 1198
Mailing Address - Street 2:HENDRICK ANESTHESIA NETWORK
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-1198
Mailing Address - Country:US
Mailing Address - Phone:325-670-4220
Mailing Address - Fax:
Practice Address - Street 1:1900 PINE ST
Practice Address - Street 2:HENDRICK ANESTHESIA NETWORK
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2432
Practice Address - Country:US
Practice Address - Phone:325-670-2458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000461367500000X
TX690264367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156042702Medicaid
TX8C2343Medicare ID - Type UnspecifiedMEDICARE NUMBER