Individual
SHAWNNA D. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3200 MACCORKLE AVE SE, OUTPATIENT CARE CENTER (RWP), CHARLESTON, WV 25304-1227
(304) 388-9677
(304) 388-8238
Mailing address
415 MORRIS STREET, SUITE 304, CHARLESTON, WV 25301
(304) 388-7782
(304) 398-7788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
50764
WV
363LF0000X
Family Nurse Practitioner
Primary
50764
WV
Other
Enumeration date
02/07/2008
Last updated
12/02/2010
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