Individual
MARLENE E WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3789
(703) 295-9369
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0024073729
VA
367500000X
Certified Registered Nurse Anesthetist
0024073729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639161805
—
VA
05
—
MEDICAID
—
MD
Enumeration date
08/16/2005
Last updated
03/30/2015
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