Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3006607 | KY |
N | 363LA2100X | Nurse Practitioner - Acute Care | COA 14362 NP | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 3006607 | KY |
NPI | 1487951208 |
---|---|
Provider Name | Ms. Susan Walker |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2011 |
Last Update Date | 13/09/2018 |