Provider Demographics
NPI:1386838290
Name:WALKER, TAMU JOY (LVN)
Entity Type:Individual
Prefix:MS
First Name:TAMU
Middle Name:JOY
Last Name:WALKER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6523 BURDETT WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-1521
Mailing Address - Country:US
Mailing Address - Phone:916-606-1024
Mailing Address - Fax:
Practice Address - Street 1:6523 BURDETT WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1521
Practice Address - Country:US
Practice Address - Phone:916-606-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN227845164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse