Provider Demographics
NPI:1508939638
Name:WALKER, MAEGAN (CRNP)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 BUSINESS PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35951
Mailing Address - Country:US
Mailing Address - Phone:256-279-5755
Mailing Address - Fax:256-849-0055
Practice Address - Street 1:141 BUSINESS PARK DRIVE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35951
Practice Address - Country:US
Practice Address - Phone:256-279-5755
Practice Address - Fax:256-849-0055
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-087483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ30070Medicare UPIN