Individual
MRS. ANGELA SUE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8074 TALLIHO DR, INDIANAPOLIS, IN 46256-4813
(317) 287-4003
(888) 335-0359
Mailing address
8074 TALLIHO DR, INDIANAPOLIS, IN 46256-4813
(317) 287-4003
(888) 335-0359
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27036491A
IN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8932959444
DRIVERS LICENSE
IN
Enumeration date
08/03/2021
Last updated
08/03/2021
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