Individual
ANDREA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1205 W MAIN ST, COLLINSVILLE, OK 74021-3114
(918) 387-0440
(918) 921-7706
Mailing address
1205 W MAIN ST, COLLINSVILLE, OK 74021-3114
(918) 748-7500
(918) 921-7706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116016
OK
363LF0000X
Family Nurse Practitioner
Primary
207888
OK
Other
Enumeration date
02/09/2021
Last updated
07/15/2022
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