Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2099292 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2099292 | FL |
NPI | 1003847864 |
---|---|
Provider Name | Ms. Donna Elaine Walker |
First Address | Gainesville, FL 32653-7022 |
Second Address | Lady Lake, FL 32159-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/12/2011 |