Individual
NAN VICTORIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3322 BROADWAY, SUITE 200, EVERETT, WA 98201-2777
(425) 249-4841
(425) 339-8283
Mailing address
200 OCEANGATE, SUITA 100, LONG BEACH, CA 90800-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00103948
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30002220
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155908
LABOR & INDUSTRY
WA
01
—
1015416
PROVIDERONE ID
WA
01
—
55198U
REGENCE BLUESHIELD
WA
05
—
9607128
—
WA
Enumeration date
07/17/2006
Last updated
07/18/2013
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