Individual
MAUREEN ANNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-9201
(928) 669-7415
Mailing address
1200 W MOHAVE RD, PARKER, AZ 85344-6349
(928) 669-7313
(928) 669-7415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN520256
CA
363L00000X
Nurse Practitioner
F1115274
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP8474
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117842
—
AZ
05
—
480046
—
AZ
01
—
F1115274
FAMILY NURSE PRACTIONER
AZ
01
—
Z187194
MEDICARE PTAN
AZ
Enumeration date
05/04/2012
Last updated
07/21/2022
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