Provider Demographics
NPI:1013296706
Name:WALKER, TOSHA HARRIS (DNP, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:HARRIS
Last Name:WALKER
Suffix:
Gender:F
Credentials:DNP, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-2022
Mailing Address - Country:US
Mailing Address - Phone:801-404-1540
Mailing Address - Fax:
Practice Address - Street 1:270 E CENTER ST
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-2022
Practice Address - Country:US
Practice Address - Phone:801-404-1540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5324707-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care