Provider Demographics
NPI:1316985260
Name:WALKER, NANCY J (ARNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:J
Last Name:WALKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4642 DARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-3906
Mailing Address - Country:US
Mailing Address - Phone:727-938-2474
Mailing Address - Fax:727-934-1579
Practice Address - Street 1:4642 DARLINGTON RD
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-3906
Practice Address - Country:US
Practice Address - Phone:727-938-2474
Practice Address - Fax:727-934-1579
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3266562363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP83040Medicare UPIN