Provider Demographics
NPI:1245590637
Name:WALKER, JULIANNA NADINE (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:NADINE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12333 NE 130TH LN
Mailing Address - Street 2:SUITE TAN 240
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-899-2221
Mailing Address - Fax:425-899-2219
Practice Address - Street 1:12333 NE 130TH LN
Practice Address - Street 2:SUITE TAN 240
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-899-2221
Practice Address - Fax:425-899-2219
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGCL.GT.60221786170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS