Individual
DANIELLE RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2689
Mailing address
10500 ANTENUCCI BLVD, SUITE 101, GARFIELD HEIGHTS, OH 44125
(440) 891-6500
(440) 891-1196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.007638RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.007638RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2020
Last updated
01/22/2024
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