Walker, Vivian M

Walker, Vivian M is an individual health care provider with primary practice located at 2330 W Covell Blvd , Davis CA 95616-5658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walker, Vivian M can be contacted via phone (530) 406-2853.

Contact Information

Primary practice address
2330 W Covell Blvd Davis CA 95616-5658
Phone: (530) 406-2853
Fax: (530) 756-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPF6648 California

Profile Details

NPI number 1538182308
LBN Legal business name Walker, Vivian M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 26th, 2009 - about 16 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 1538182308 NPPES
California Other P00085213 RR MEDICARE

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