Provider Demographics
NPI:1477764819
Name:HURD-WALKER, JANET LOU (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LOU
Last Name:HURD-WALKER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 VERBENA AVE
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-7378
Mailing Address - Country:US
Mailing Address - Phone:909-985-1796
Mailing Address - Fax:
Practice Address - Street 1:600 N MOUNTAIN AVE
Practice Address - Street 2:SUITE A104
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4359
Practice Address - Country:US
Practice Address - Phone:909-931-1033
Practice Address - Fax:909-981-8976
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA177961363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health