Provider Demographics
NPI:1285640599
Name:WALKER, REGINA JOYCE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:JOYCE
Last Name:WALKER
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:1515 W PLEASANT ST
Mailing Address - Street 2:CIHCS - KNOXVILLE DIVISION
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-3399
Mailing Address - Country:US
Mailing Address - Phone:641-842-3101
Mailing Address - Fax:641-828-5331
Practice Address - Street 1:1515 W PLEASANT ST
Practice Address - Street 2:CIHCS - KNOXVILLE DIVISION
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-3399
Practice Address - Country:US
Practice Address - Phone:641-842-3101
Practice Address - Fax:641-828-5331
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAH100041363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health