Provider Demographics
NPI:1689742504
Name:WALKER, GISELA HANNELORE (NP)
Entity Type:Individual
Prefix:MS
First Name:GISELA
Middle Name:HANNELORE
Last Name:WALKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29536 CTY RD 5
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107
Mailing Address - Country:US
Mailing Address - Phone:303-646-4885
Mailing Address - Fax:719-775-7651
Practice Address - Street 1:29536 CTY RD 5
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107
Practice Address - Country:US
Practice Address - Phone:303-646-4885
Practice Address - Fax:719-775-7651
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily