Provider Demographics
NPI:1467248914
Name:WALKER, CHARLENE D (DOULA)
Entity type:Individual
Prefix:
First Name:CHARLENE
Middle Name:D
Last Name:WALKER
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2648 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4625
Mailing Address - Country:US
Mailing Address - Phone:215-847-6884
Mailing Address - Fax:215-847-6884
Practice Address - Street 1:3340 N BOUVIER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4921
Practice Address - Country:US
Practice Address - Phone:215-847-6884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty