Individual
MARRISA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 424-7711
Mailing address
43686 NS 3500, KONAWA, OK 74849-4944
(580) 279-5874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0136254
OK
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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