Individual
CRYSTAL LILLIAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 381-1450
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008161
NC
363LP0200X
Pediatric Nurse Practitioner
5008161
NC
363LP2300X
Primary Care Nurse Practitioner
5008161
NC
Other
Enumeration date
05/17/2007
Last updated
07/15/2024
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