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Individual

MRS. DIANE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
115 S PINEY RD, CHESTER, MD 21619-2619
(410) 643-3007
Mailing address
115 S PINEY RD, CHESTER, MD 21619-2619
(410) 643-3007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
88082
CO
363LF0000X
Family Nurse Practitioner
Primary
R163105
MD

Other

Enumeration date
08/03/2005
Last updated
11/06/2022
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