Provider Demographics
NPI:1548778533
Name:WALKER, SHEILA DENISE (FNP-C)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:DENISE
Last Name:WALKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 GUNPOWDER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-3000
Mailing Address - Country:US
Mailing Address - Phone:410-971-9877
Mailing Address - Fax:
Practice Address - Street 1:1321 RIVERSIDE PKWY STE A3
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-3404
Practice Address - Country:US
Practice Address - Phone:443-327-7449
Practice Address - Fax:443-345-1245
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186951163W00000X
MD2023205604363LP0808X
MDF03180352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health