Provider Demographics
NPI:1750643623
Name:WALKER, NANCY GRANTHAM (RN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:GRANTHAM
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6926
Mailing Address - Country:US
Mailing Address - Phone:504-838-5100
Mailing Address - Fax:504-838-5104
Practice Address - Street 1:111 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5450
Practice Address - Country:US
Practice Address - Phone:504-838-5100
Practice Address - Fax:504-838-5104
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN081330163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health