Individual
CHERYL A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 HERON RD, MYSTIC, CT 06355-3253
(860) 536-6442
(860) 536-6442
Mailing address
3 HERON RD, MYSTIC, CT 06355-3253
(860) 536-6442
(860) 536-6442
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
022943
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243581
—
CT
Enumeration date
05/27/2005
Last updated
05/28/2008
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