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Individual
MRS. VANESSA RENISE WALKER
Active
Individual
MRS. VANESSA RENISE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R40252
ND
363LA2200X
Adult Health Nurse Practitioner
R40252
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG02190071
CERTIFICATION NUMBER
—
Enumeration date
02/08/2019
Last updated
09/12/2025
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