Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 5324707-4405 | UT |
NPI | 1013296706 |
---|---|
Provider Name | Tosha Harris Walker |
First Address | Lindon, UT 84042-2022 |
Second Address | Lindon, UT 84042-2022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2011 |
Last Update Date | 10/06/2020 |