Individual
CASSANDRA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
97 THOMAS JOHNSON DR STE 200, FREDERICK, MD 21702-4374
(240) 547-6464
Mailing address
253 KERCHNER RD, WALKERSVILLE, MD 21793-8259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024187352
VA
363LF0000X
Family Nurse Practitioner
Primary
R212921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366046682
—
VA
05
—
30017662910001
—
VA
Enumeration date
11/27/2020
Last updated
01/15/2024
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