Individual
DONNA WALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
545 N RIVER ST, SUITE 130, WILKES BARRE, PA 18702-2600
(570) 270-4455
(570) 270-4884
Mailing address
17 CHERRY LN, MOUNTAIN TOP, PA 18707-1505
(570) 403-1217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP004183B
PA
Other
Enumeration date
09/22/2006
Last updated
09/23/2020
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