Individual
CATHY S WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1234 E. DUPONT RD., SUITE 6, FORT WAYNE, IN 46825-1545
(260) 480-2600
(260) 496-8077
Mailing address
1234 E. DUPONT RD., SUITE 6, FORT WAYNE, IN 46825-1545
(260) 480-2600
(260) 496-8077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000549119
ANTHEM
IN
05
—
200287230
—
IN
Enumeration date
08/08/2006
Last updated
01/26/2010
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