Provider Demographics
NPI:1528595691
Name:WALKER, SHEMEA LATRECE
Entity Type:Individual
Prefix:MS
First Name:SHEMEA
Middle Name:LATRECE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E 74TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1917
Mailing Address - Country:US
Mailing Address - Phone:216-301-4056
Mailing Address - Fax:
Practice Address - Street 1:1004 E 74TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1917
Practice Address - Country:US
Practice Address - Phone:216-301-4056
Practice Address - Fax:216-301-4056
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide