Individual
MISS RIKKI LEA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 E 4TH ST, OSWEGO, NY 13126-1116
(315) 297-3355
Mailing address
11 E 4TH ST, OSWEGO, NY 13126-1116
(315) 297-3355
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
810726
NY
164W00000X
Licensed Practical Nurse
319230-1
NY
207Q00000X
Family Medicine Physician
354712
NY
Other
Enumeration date
01/15/2015
Last updated
10/07/2024
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