Individual
MRS. VANESSA RENISE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R40252
ND
363LA2200X
Adult Health Nurse Practitioner
R40252
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG02190071
CERTIFICATION NUMBER
—
Enumeration date
02/08/2019
Last updated
09/12/2025
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