Provider Demographics
NPI:1295904852
Name:WALKER, CHRISTINA NICOLE (N P)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:NICOLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 POLK ST
Mailing Address - Street 2:APT 8
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1652
Mailing Address - Country:US
Mailing Address - Phone:303-570-9181
Mailing Address - Fax:
Practice Address - Street 1:3351 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-3811
Practice Address - Country:US
Practice Address - Phone:303-570-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA811043163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse