Provider Demographics
NPI:1851694475
Name:WALKER, MEGAN BETH (MS, RN, CPNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:BETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS, RN, CPNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:BETH
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1775 DELCO PARK DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1398
Mailing Address - Country:US
Mailing Address - Phone:918-772-3390
Mailing Address - Fax:
Practice Address - Street 1:1775 DELCO PARK DR
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1398
Practice Address - Country:US
Practice Address - Phone:816-500-6015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH359677163W00000X
OHRN.359677363LP0200X
OK131445363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse