Provider Demographics
NPI:1679787204
Name:WALKER, STEPHAINE HALE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHAINE
Middle Name:HALE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:VANDERBILT CHILDRENS HOSPITAL
Mailing Address - Street 2:DEPT OF NEONATOLOGY, 11111 DOCTOR'S OFFICE TOWER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-936-7612
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT CHILDRENS HOSPITAL
Practice Address - Street 2:DEPT OF NEONATOLOGY, 11111 DOCTOR'S OFFICE TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-7612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN451272080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine