STACIE LOUISE WALKER N.P. NPI 1700844545

NPI Information

NPI: 1700844545
Provider Name: STACIE LOUISE WALKER, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1840 WEALTHY ST SE
MC 426
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 774-5221
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Stacie Louise Walker, N.P. is a family nurse practitioner in Grand Rapids, MI with 19 years of experience. Stacie Louise Walker, N.P. NPI is 1700844545. 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:

1840 WEALTHY ST SE
MC 426
GRAND RAPIDS, MI
ZIP 49506-921
Phone: (616) 774-5221
Fax: (616) 774-5391

The NPI 1700844545 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 5/2/2006 and was last updated on 8/13/2007.

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	4704230394	MICHIGAN	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	Other Provider Identifier Issuer
1	N43480018	MEDICARE PIN
2	Q68116	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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