Provider Demographics
NPI:1790924363
Name:WALKER, HOLLY N (ARNP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:N
Last Name:WALKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-969-6552
Mailing Address - Fax:502-969-3799
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 1105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-583-1609
Practice Address - Fax:502-583-2120
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY5887P363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000616408OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY5887POtherKY BOARD OF LICENSE
KY7100091920Medicaid
KY000023036NOtherHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY200952380OtherHEALTHY INDIANA PLAN- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY200952380OtherMD WISE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY50023978OtherPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000000616408OtherANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY200952380OtherMEDICAID INDIANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY3715729000OtherPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY00533133OtherMEDICARE KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY