Individual
NICOLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 BAYOU CANE DR, MARRERO, LA 70072-8500
(504) 202-7028
Mailing address
2713 BAYOU CANE DR, MARRERO, LA 70072-8500
(504) 202-7028
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
267262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42878676K
CHARTER
LA
Enumeration date
03/23/2018
Last updated
03/23/2018
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