Provider Demographics
NPI:1073808713
Name:WALKER, EBONE NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:EBONE
Middle Name:NICOLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 N BEND RD
Mailing Address - Street 2:#1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7760
Mailing Address - Country:US
Mailing Address - Phone:513-328-3331
Mailing Address - Fax:
Practice Address - Street 1:2756 N BEND RD
Practice Address - Street 2:#1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7760
Practice Address - Country:US
Practice Address - Phone:513-328-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.331115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse