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Individual

GREGORY LAWRENCE WALKER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 407-7700
(702) 407-7016

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
834774
NV
363LC0200X
Critical Care Medicine Nurse Practitioner
834774
NV
363LG0600X
Gerontology Nurse Practitioner
834774
NV
364SA2200X
Adult Health Clinical Nurse Specialist
824774
NV

Other

Enumeration date
09/25/2020
Last updated
11/19/2020
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