Provider Demographics
NPI:1164104238
Name:WALKER, ANNA (MSN, APRN, FNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 W. RIVERSIDE DR SUITE 406
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4325
Mailing Address - Country:US
Mailing Address - Phone:310-765-9019
Mailing Address - Fax:310-765-9019
Practice Address - Street 1:3808 W RIVERSIDE DR STE 406
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-5301
Practice Address - Country:US
Practice Address - Phone:310-765-9019
Practice Address - Fax:310-765-9019
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95179772163W00000X
CA95026321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse