Bradley L Walker is a Family in Chubbuck, Idaho. Bradley L Walker practices all healthcare services and medical treatments related to Family. The NPI Number for Bradley L Walker is 1871563007. The last update date is 2007-07-08.
Bradley L Walker's current location address is 5033 Redfish St, Chubbuck, Idaho. You can contact this provider via phone number 2082378376. The mailing address for Bradley L Walker is 5033 Redfish St, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley L Walker |
|---|---|
| Address | 5033 Redfish St, Chubbuck, Idaho |
| Phone Number | 2082378376 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871563007 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5033 Redfish St |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832023031 |
| Phone Number | 2082378376 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP-85A |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Bradley L Walker's unique identification number?
The Bradley L Walker has been assigned the NPI (National Provider Identifier) Number 1871563007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Bradley L Walker located?
The Bradley L Walker is located at 5033 Redfish St, Chubbuck, ID 832023031.
What is Bradley L Walker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley L Walker is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871563007 to Bradley L Walker?
The Bradley L Walker received its 1871563007 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the Bradley L Walker's information last updated?
The Bradley L Walker's information was last updated on 2007-07-08.