Provider Demographics
NPI:1346366036
Name:WALKER, YURI NICHOLAS (RN, JD)
Entity Type:Individual
Prefix:MS
First Name:YURI
Middle Name:NICHOLAS
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3929 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2501
Mailing Address - Country:US
Mailing Address - Phone:314-383-6487
Mailing Address - Fax:314-289-7602
Practice Address - Street 1:SAINT LOUIS VA MEDICAL CENTER
Practice Address - Street 2:915 NORTH GRAND AVE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-383-6487
Practice Address - Fax:314-289-7602
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO90414163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse