Individual
TARI L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 723-2638
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 723-2638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN.291242
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNS 019310
OH
364SN0800X
Neuroscience Clinical Nurse Specialist
APRN.CNS 019310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196912
—
OH
01
—
APRN.CNS.019310
STATE LICENSE NUMBER
OH
Enumeration date
09/15/2016
Last updated
02/02/2017
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