Provider Demographics
NPI:1346050796
Name:WALKER, TAMARA (BBCD, BBCI, BBCPPD)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:BBCD, BBCI, BBCPPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19401 CADE CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4163
Mailing Address - Country:US
Mailing Address - Phone:405-659-2908
Mailing Address - Fax:
Practice Address - Street 1:19401 CADE CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4163
Practice Address - Country:US
Practice Address - Phone:405-659-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula