Individual
WENDY J WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129755
TN
163W00000X
Registered Nurse
RN173983
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913081
—
AL
05
—
3600119
—
TN
01
—
4159491
BLUE CROSS BLUE SHIELD TN
TN
05
—
8053443
—
NC
05
—
918461591A
—
GA
01
—
N408870
WELLCARE (GA MEDICAID)
GA
01
—
P00472268
RAILROAD MEDICARE
TN
Enumeration date
08/14/2007
Last updated
03/04/2022
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