Provider Demographics
NPI:1578127403
Name:WALKINGTON, MARIAH (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIAH
Middle Name:
Last Name:WALKINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 E GUADALUPE RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4889
Mailing Address - Country:US
Mailing Address - Phone:480-892-2803
Mailing Address - Fax:
Practice Address - Street 1:1211 E GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4889
Practice Address - Country:US
Practice Address - Phone:480-892-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN178115163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool