Provider Demographics
NPI:1619012499
Name:WALKER, BROOKE L (APRN)
Entity Type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 S ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4113
Mailing Address - Country:US
Mailing Address - Phone:775-870-4334
Mailing Address - Fax:775-870-4634
Practice Address - Street 1:5295 SUN VALLEY BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:SUN VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89433-7954
Practice Address - Country:US
Practice Address - Phone:775-870-4334
Practice Address - Fax:775-870-4634
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN15893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV941196203OtherNELL J REDFIELD COMMUNITY CLINICS