Provider Demographics
NPI:1699786814
Name:WALKER, MOLLY K (CNM)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:K
Last Name:WALKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1030024367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051524974OtherBCBS
AL051521981OtherBCBS
AL569100054Medicaid
AL569100055Medicaid
AL00996995Medicaid
AL051521983OtherBCBS
AL051524973OtherBCBS
AL569100051Medicaid
AL051521980OtherBCBS
AL051521984OtherBCBS
AL569100061Medicaid
AL569100050Medicaid
AL051521982OtherBCBS
AL569100056Medicaid
AL009976985Medicaid
AL051521985OtherBCBS
AL051521987OtherBCBS
AL051524973OtherBCBS
AL569100051Medicaid
AL569100050Medicaid