Individual
NANCY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(800) 303-7639
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28203152A
IN
Other
Enumeration date
12/06/2017
Last updated
10/10/2018
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