Provider Demographics
NPI:1518283506
Name:WALKER, KARIN ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:ELIZABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:ELIZABETH
Other - Last Name:STURDIVANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:770 THE CITY DRIVE SOUTH
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4929
Mailing Address - Country:US
Mailing Address - Phone:800-463-6628
Mailing Address - Fax:714-620-3008
Practice Address - Street 1:1155 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1576
Practice Address - Country:US
Practice Address - Phone:775-982-4100
Practice Address - Fax:775-982-5464
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00186363LN0000X
NVAPRN00186363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal