Individual
BRANDI ADELE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 894-6783
Mailing address
5 GLENWOOD AVE, HARAHAN, LA 70123-4610
(504) 919-7073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.201211
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.201211
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238112
—
LA
01
—
MD.201211
STATE LICENSE NUMBER
LA
Enumeration date
03/06/2008
Last updated
07/09/2013
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