Individual
CODY MICHAEL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07150
LA
367500000X
Certified Registered Nurse Anesthetist
RN122842
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02885383
—
MS
05
—
2400011
—
LA
Enumeration date
01/17/2013
Last updated
09/06/2013
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