Provider Demographics
NPI:1891791802
Name:WALKER, TOMAS C (DNP, APRN, BC-ADM)
Entity Type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:C
Last Name:WALKER
Suffix:
Gender:M
Credentials:DNP, APRN, BC-ADM
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 33906
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89533-3906
Mailing Address - Country:US
Mailing Address - Phone:702-809-3019
Mailing Address - Fax:702-664-0578
Practice Address - Street 1:6340 SEQUENCE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4356
Practice Address - Country:US
Practice Address - Phone:702-260-0993
Practice Address - Fax:702-664-0578
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00407363LF0000X
NVAPRN00407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVAPRN00407OtherNEVADA STATE BOARD OF NURSING
NVAPRN00407OtherNEVADA STATE BOARD OF NURSING
NVAPRN00407OtherNEVADA STATE BOARD OF NURSING