Walker, Mary Jean

Walker, Mary Jean is an individual health care provider with primary practice located at 300 Western Boulevard , Glastonbury CT 06033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Walker, Mary Jean can be contacted via phone (860) 547-0306.

Contact Information

Primary practice address
300 Western Boulevard Glastonbury CT 06033
Phone: (860) 547-0306
Fax: (860) 525-9782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 000442 Connecticut

Profile Details

NPI number 1669571428
LBN Legal business name Walker, Mary Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Nov 16th, 2011 - about 14 years ago

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 1669571428 NPPES
Connecticut MEDICAID 004208139

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