Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5011769 | NC |
NPI | 1023674371 |
---|---|
Provider Name | Helen Lucy Walker |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2019 |
Last Update Date | 13/05/2019 |