Individual
MS. SUSAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 341-0203
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-2000
(859) 341-0203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006607
KY
363LA2100X
Acute Care Nurse Practitioner
COA 14362 NP
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
3006607
KY
Other
Enumeration date
02/14/2011
Last updated
09/13/2018
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