Provider Demographics
NPI:1346473980
Name:WALKER, VICTORIA ROSE
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ROSE
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 1:755 SAINT ANDREWS DR
Mailing Address - Street 2:APT.5-312
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6537
Mailing Address - Country:US
Mailing Address - Phone:901-438-4046
Mailing Address - Fax:
Practice Address - Street 1:CENTERSTONE
Practice Address - Street 2:915 8TH AVE. S
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-460-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator