Individual
ALYSSA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1284 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 560-3700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245836
WI
363L00000X
Nurse Practitioner
Primary
14872
WI
363LF0000X
Family Nurse Practitioner
14872-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100265694
—
WI
Enumeration date
12/28/2023
Last updated
02/19/2024
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