Provider Demographics
NPI:1407085996
Name:WALKER, HEATHER ELISABETH (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELISABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PATTERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3334
Mailing Address - Country:US
Mailing Address - Phone:202-354-1120
Mailing Address - Fax:202-478-0606
Practice Address - Street 1:40 PATTERSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3334
Practice Address - Country:US
Practice Address - Phone:202-354-1120
Practice Address - Fax:202-478-0606
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD038158207Q00000X
MDD0069310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine