Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1069 | NE |
NPI | 1023126901 |
---|---|
Provider Name | Janell R Walker |
First Address | Lincoln, NE 68510-2580 |
Second Address | Lincoln, NE 68510-2462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 29/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02174 | BCBS (01) | NE |