Individual
STACIE LEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN, IBCLC
Contact information
Practice address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
(844) 905-1383
Mailing address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
(844) 905-1383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1643385
CO
163W00000X
Registered Nurse
RN60570432
WA
163WL0100X
Lactation Consultant (Registered Nurse)
201902371RN
OR
367A00000X
Advanced Practice Midwife
Primary
201902385NP-PP
OR
367A00000X
Advanced Practice Midwife
235949
CA
367A00000X
Advanced Practice Midwife
AP60696754
WA
367A00000X
Advanced Practice Midwife
APN.0992696-CNM
CO
Other
Enumeration date
08/17/2015
Last updated
07/11/2022
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