Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN080992 | AZ |
NPI | 1013122365 |
---|---|
Provider Name | Helen Walker |
First Address | Scottsdale, AZ 85258-4535 |
Second Address | Scottsdale, AZ 85258-4535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |