Individual
CARLA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 JEFFERSON SE, GRAND RAPIDS, MI 49503
(616) 685-6475
(616) 685-8995
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503
(616) 685-8050
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704297182
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN074161
AZ
Other
Enumeration date
03/22/2009
Last updated
04/04/2013
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