Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26612 | TN |
NPI | 1316596943 |
---|---|
Provider Name | Sarah Marie Walker |
First Address | Mount Juliet, TN 37122-2170 |
Second Address | Nashville, TN 37232-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2019 |
Last Update Date | 17/06/2021 |