Individual
CONNIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 GREENE ST, CUMBERLAND, MD 21502-2933
(301) 682-2041
(301) 732-6295
Mailing address
72 GREENE ST, CUMBERLAND, MD 21502-2933
(301) 682-2041
(301) 732-6295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R207755
MD
363L00000X
Nurse Practitioner
SP013898
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029341620001
—
PA
Enumeration date
10/22/2013
Last updated
02/19/2025
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