Provider Demographics
NPI:1730304924
Name:WALKER, TANYA MARIE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:MARIE
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM, CPM
Mailing Address - Street 1:420 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-3924
Mailing Address - Country:US
Mailing Address - Phone:805-202-6575
Mailing Address - Fax:805-357-6073
Practice Address - Street 1:134 S HALCYON RD
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3116
Practice Address - Country:US
Practice Address - Phone:805-222-7011
Practice Address - Fax:805-855-4086
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM309176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife