Individual
AWNDREA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 KIELDER CIR, FORT WORTH, TX 76134-4514
(817) 877-7466
Mailing address
1121 KIELDER CIR, FORT WORTH, TX 76134-4514
(817) 877-7466
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
443462
TX
164W00000X
Licensed Practical Nurse
314011
TX
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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