Provider Demographics
NPI:1609326594
Name:WALKER, VIRGINIA (ANP)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:WALKER
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Gender:F
Credentials:ANP
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Mailing Address - Street 1:3211 PROVIDENCE DRIVE RH STE 116
Mailing Address - Street 2:UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNSEL
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-786-4040
Mailing Address - Fax:907-562-0269
Practice Address - Street 1:3211 PROVIDENCE DRIVE RH STE 116
Practice Address - Street 2:UNIVERSITY OF ALASKA ANCHORAGE STUDENT HEALTH & COUNCEL
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-786-4040
Practice Address - Fax:907-562-0269
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
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Provider Licenses
StateLicense IDTaxonomies
AK109774363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health