Walker, Andrea Danielle

Walker, Andrea Danielle is an individual health care provider with primary practice located at 2200 W 21St St , Clovis NM 88101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Walker, Andrea Danielle can be contacted via phone (575) 742-7894.

Contact Information

Primary practice address
2200 W 21St St Clovis NM 88101
Fax: (575) 742-7856
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036.162565 Illinois

Profile Details

NPI number 1750624714
LBN Legal business name Walker, Andrea Danielle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2013
Last updated Feb 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750624714 NPPES
New Mexico MEDICAID 09402292

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