Provider Demographics
NPI:1942942974
Name:WALKER, HAYLEY H (RDN)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:H
Last Name:WALKER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:H
Other - Last Name:LINDEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7878 LAKE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-8805
Mailing Address - Country:US
Mailing Address - Phone:616-481-2881
Mailing Address - Fax:
Practice Address - Street 1:7878 LAKE CREEK DR
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881-8805
Practice Address - Country:US
Practice Address - Phone:616-481-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI86144379133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered