DR. PHAEDRA LYNN WALKER APRN DNP NPI 1417353566

NPI Information

NPI: 1417353566
Provider Name: DR. PHAEDRA LYNN WALKER, APRN, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4152 W BLUE HERON BLVD STE 123
RIVIERA BEACH, FL
ZIP 33404
Phone: (440) 844-7699
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DR. Phaedra Lynn Walker, APRN, DNP is a family nurse practitioner in Riviera Beach, FL. DR. Phaedra Lynn Walker, APRN, DNP NPI is 1417353566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4152 W BLUE HERON BLVD STE 123
RIVIERA BEACH, FL
ZIP 33404-859
Phone: (440) 844-7699

The NPI 1417353566 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 12/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	9319140	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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