Provider Demographics
NPI:1295469328
Name:WALKER, MAREESHA DAVETTE
Entity Type:Individual
Prefix:MS
First Name:MAREESHA
Middle Name:DAVETTE
Last Name:WALKER
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 1:9554 VAUGHAN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-1674
Mailing Address - Country:US
Mailing Address - Phone:313-414-9424
Mailing Address - Fax:
Practice Address - Street 1:9554 VAUGHAN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-1674
Practice Address - Country:US
Practice Address - Phone:313-414-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula