Individual
THERESA M WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
600 WHITNEY RANCH DR, B6, HENDERSON, NV 89014-2611
(702) 547-0088
(702) 434-1579
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN12232
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
APN00328
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NV
Enumeration date
05/10/2006
Last updated
03/28/2012
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