Provider Demographics
NPI:1699192823
Name:WALKER, CAYE LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:CAYE
Middle Name:LYNN
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CAYE
Other - Middle Name:LYNN
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:21 BOWERS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4132
Mailing Address - Country:US
Mailing Address - Phone:740-704-1370
Mailing Address - Fax:
Practice Address - Street 1:21 BOWERS AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4132
Practice Address - Country:US
Practice Address - Phone:740-704-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH085429164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse