Provider Demographics
NPI:1992974125
Name:WALKER, MARY ANN G (NP)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:G
Last Name:WALKER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1 GUSTAVEL LEVY PLACE PO BOX 1495
Mailing Address - Street 2:MOUNT SINAI HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-8095
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVEL LEVY PLACE
Practice Address - Street 2:MOUNT SINAI HOSPITAL
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY430076363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care