Individual
LOIS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN ST, SOMERTON, AZ 85350-6329
(928) 627-1120
(928) 627-8773
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP9845
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R80468
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
05
—
205411758
—
AR
05
—
211456002
—
AR
Enumeration date
07/18/2014
Last updated
08/14/2024
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