Provider Demographics
NPI:1649990078
Name:WALKER, SHEILA D
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:D
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 SEMINOLE TRL
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3013
Mailing Address - Country:US
Mailing Address - Phone:419-516-9454
Mailing Address - Fax:
Practice Address - Street 1:2875 SEMINOLE TRL
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3013
Practice Address - Country:US
Practice Address - Phone:419-516-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty