Provider Demographics
NPI:1588000319
Name:WALKER, ANGELA G
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:G
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 1:120 N HOYT ST
Mailing Address - Street 2:120N HOYT
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1602
Mailing Address - Country:US
Mailing Address - Phone:907-279-7535
Mailing Address - Fax:907-279-9428
Practice Address - Street 1:120 N HOYT ST
Practice Address - Street 2:120N HOYT
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1602
Practice Address - Country:US
Practice Address - Phone:907-279-7535
Practice Address - Fax:907-279-9428
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider