Provider Demographics
NPI:1912795048
Name:WALKER, CENISE
Entity type:Individual
Prefix:
First Name:CENISE
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 N 116TH CT APT 11
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2551
Mailing Address - Country:US
Mailing Address - Phone:402-990-0998
Mailing Address - Fax:
Practice Address - Street 1:9910 N 48TH ST STE 108B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-1548
Practice Address - Country:US
Practice Address - Phone:402-799-1799
Practice Address - Fax:402-819-0949
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant