Provider Demographics
NPI:1336358225
Name:WALKER, HEATHER ANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 E 1ST PL STE D
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7199
Mailing Address - Country:US
Mailing Address - Phone:303-339-6470
Mailing Address - Fax:
Practice Address - Street 1:7701 E 1ST PL STE D
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7199
Practice Address - Country:US
Practice Address - Phone:303-339-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1950363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant