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Individual

TRAVERA ELIZABETH WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
807 DONNELL BLVD STE 2, DALEVILLE, AL 36322-2104
(334) 447-1737
Mailing address
PO BOX 1032, DALEVILLE, AL 36322-1032
(334) 447-1737

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-9305415
FL
163WC0400X
Case Management Registered Nurse
Primary
1-123899
AL
172V00000X
Community Health Worker
1-123899
AL

Other

Enumeration date
04/17/2019
Last updated
04/17/2019
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