Provider Demographics
NPI:1619919636
Name:WALKER, NATALIE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2562 HADLEY DR
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3628
Mailing Address - Country:US
Mailing Address - Phone:215-888-3832
Mailing Address - Fax:
Practice Address - Street 1:2562 HADLEY DR
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-3628
Practice Address - Country:US
Practice Address - Phone:215-888-3832
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007634363LP0200X
NJ26NJ00107700363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics