Provider Demographics
NPI:1710447578
Name:WALKER, DEBRA DENISE (LVN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:DENISE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:BECKVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75631-0673
Mailing Address - Country:US
Mailing Address - Phone:409-926-8695
Mailing Address - Fax:
Practice Address - Street 1:106 DANIELS ST
Practice Address - Street 2:
Practice Address - City:BECKVILLE
Practice Address - State:TX
Practice Address - Zip Code:75631
Practice Address - Country:US
Practice Address - Phone:409-926-8695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150977164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse