Individual
MARY KAY CONOVER-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
250 SHILLING CIRCLE, HEALTH CENTER, HUNT VALLEY, MD 21120
(410) 773-6550
(410) 773-6201
Mailing address
PO BOX 64316, BALTIMORE, MD 21264-4316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R062679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407469600
—
MD
Enumeration date
05/26/2006
Last updated
03/29/2019
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