Provider Demographics
NPI:1215586763
Name:WALKUP, MERLE ELEANOR
Entity Type:Individual
Prefix:MRS
First Name:MERLE
Middle Name:ELEANOR
Last Name:WALKUP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SHANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WA
Mailing Address - Zip Code:98570-9438
Mailing Address - Country:US
Mailing Address - Phone:360-985-7956
Mailing Address - Fax:
Practice Address - Street 1:405 SHANKLIN RD
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WA
Practice Address - Zip Code:98570-9438
Practice Address - Country:US
Practice Address - Phone:360-985-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care