MARY JEAN WALKER APRN NPI 1669571428

NPI Information

NPI: 1669571428
Provider Name: MARY JEAN WALKER, APRN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
300 WESTERN BOULEVARD
GLASTONBURY, CT
ZIP 06033
Phone: (860) 547-0306
Get Directions

Mary Jean Walker, APRN is an obstetrics and gynecology nurse practitioner in Glastonbury, CT. Mary Jean Walker, APRN NPI is 1669571428. 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:

300 WESTERN BOULEVARD
GLASTONBURY, CT
ZIP 06033
Phone: (860) 547-0306
Fax: (860) 525-9782

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/16/2011.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	000442	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	004208139	MEDICAID	CONNECTICUT
2	50000283	MEDICARE ID-TYPE UNSPECIFIED
3	S81470	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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