Individual
NATAUSHA SHAUNTRECE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
805 E WASHINGTON ST, IDABEL, OK 74745-3331
(580) 286-1095
(580) 286-3122
Mailing address
1425 E LINCOLN RD SUITE B-3, IDABEL, OK 74745
(903) 933-6400
(580) 286-8287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208666
OK
Other
Enumeration date
06/28/2022
Last updated
04/10/2025
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