Brenda Moody Walker in Charleston - Nurse Practitioner

Brenda Moody Walker - NPI 1013971761

Brenda Moody Walker is a Nurse Practitioner in Charleston, . Brenda Moody Walker practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brenda Moody Walker is 1013971761. The last update date is 2020-11-12.

Brenda Moody Walker's current location address is 4407 Maccorkle Ave Se, Charleston, . You can contact this provider via phone number 3049250392 and fax number 3048250392. The mailing address for Brenda Moody Walker is 4407 Maccorkle Ave Se, Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Moody Walker
Address 4407 Maccorkle Ave Se, Charleston,
Phone Number 3049250392
Fax Number 3048250392
Sole Proprietor N
Credentials RN,MSN,CFN

NPI Number Detail

NPI Number 1013971761
Provider Enumeration Date 2006-04-12
Last Updated Date 2020-11-12

Provider Mailing Address Detail

Address 4407 Maccorkle Ave Se
City Charleston
State (WV)
Post Code 253042541
Phone Number 3049250392
Fax Number 3048250392

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 18804
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
167011000 WV --

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FAQs about Brenda Moody Walker

What is the Brenda Moody Walker's 1013971761?

The Brenda Moody Walker's NPI (National Provider Identifier) Number is 1013971761. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Brenda Moody Walker?

The Brenda Moody Walker is physically situated at 4407 Maccorkle Ave Se, in the city of Charleston, state of WV, with the postal code 253042541.

What is the Brenda Moody Walker's specialty and taxonomy code?

The Brenda Moody Walker's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1013971761 to Brenda Moody Walker?

The Brenda Moody Walker received its 1013971761 assignment from the Centers for Medicare & Medicaid Services on 2006-04-12.

When was the Brenda Moody Walker's information last updated?

The Brenda Moody Walker's information was last updated on 2020-11-12.

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