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Individual

MRS. MARTHA LOUISE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
123 CONHOCTON ST STE 101, CORNING, NY 14830-2959
(607) 438-1200
(607) 438-1221
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
393507-1
NY
363L00000X
Nurse Practitioner
Primary
308472
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05100165
NY
Enumeration date
02/06/2012
Last updated
05/18/2020
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