# REVA MARIE MACE WALKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427875889
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | 902801 | MS | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | 901802 | MS | Yes |

## Other

- **Enumeration date:** 09/25/2024
- **Last updated:** 09/25/2024