Individual
ALICIA M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 145, PONDERAY, ID 83852-0145
(208) 290-1693
Mailing address
PO BOX 145, PONDERAY, ID 83852-0145
(208) 290-1693
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
66870
ID
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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