Provider Demographics
NPI:1336142405
Name:WALKER, JUDITH ANN (EDD, RN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:EDD, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7782 FAIR OAKS PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4557
Mailing Address - Country:US
Mailing Address - Phone:830-981-4835
Mailing Address - Fax:210-224-7011
Practice Address - Street 1:1702 N ALAMO ST
Practice Address - Street 2:# 220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1201
Practice Address - Country:US
Practice Address - Phone:210-224-1823
Practice Address - Fax:210-224-7011
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX226760363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics