Individual
WANITA A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, DEPT OF INTERNAL MEDICINE-ENDOCRINOLOGY, KANSAS CITY, KS 66160
(913) 588-6022
Mailing address
3901 RAINBOW BLVD, MOB 503 MAIL STOP 2024, KANSAS CITY, KS 66160
(913) 588-6022
(913) 588-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005990A
—
KS
01
—
25787017
BCBS KC
MO
05
—
424736403
—
MO
01
—
636240
FIRSTGUARD
KS
Enumeration date
10/03/2006
Last updated
12/09/2013
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