Individual
DANAE LEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1880 JOHN ADAMS PARKWAY, IDAHO FALLS, ID 83401
(208) 524-6633
(208) 528-2978
Mailing address
3495 E 800 N, MENAN, ID 83434
(208) 709-1920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77208
ID
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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