Provider Demographics
NPI:1467155127
Name:WALKER, GERMAINE ELANDA
Entity Type:Individual
Prefix:MISS
First Name:GERMAINE
Middle Name:ELANDA
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:GERMAINE
Other - Middle Name:ELANDA
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1415 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2907
Mailing Address - Country:US
Mailing Address - Phone:202-641-5156
Mailing Address - Fax:
Practice Address - Street 1:1415 3RD ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2907
Practice Address - Country:US
Practice Address - Phone:202-641-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator