Individual
STACY L WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(641) 683-0800
(641) 683-0801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A087201
IA
363LF0000X
Family Nurse Practitioner
A087201
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07389
WELLMARKIOWA
IA
01
—
42146637605
RIVERVALLEYUHC
IA
01
—
P00373615
RR MEDICARE
IA
Enumeration date
07/27/2006
Last updated
01/22/2024
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