Individual
NICOLE ASHLEY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
2078 BLUESTEM PKWY, LYNWOOD, IL 60411-8552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043131114
IL
164W00000X
Licensed Practical Nurse
Primary
27080245A
IN
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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