Provider Demographics
NPI:1972638260
Name:WALKER, LYNNA KAY (RN, CS)
Entity Type:Individual
Prefix:
First Name:LYNNA
Middle Name:KAY
Last Name:WALKER
Suffix:
Gender:F
Credentials:RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1321
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93515
Mailing Address - Country:US
Mailing Address - Phone:760-387-2628
Mailing Address - Fax:
Practice Address - Street 1:512 W LINE ST
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-3347
Practice Address - Country:US
Practice Address - Phone:760-937-3137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY219403163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult