Provider Demographics
NPI:1750877700
Name:WALKER, VIRGINIA BUIE
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:BUIE
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 1:790 S BISCAYNE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6145
Mailing Address - Country:US
Mailing Address - Phone:305-343-3330
Mailing Address - Fax:910-775-9423
Practice Address - Street 1:790 S BISCAYNE RIVER DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6145
Practice Address - Country:US
Practice Address - Phone:305-343-3330
Practice Address - Fax:910-775-9423
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
385HR2065X, 251E00000X, 171R00000X, 372500000X, 372600000X, 347C00000X, 376J00000X, 376K00000X, 385H00000X
NC155784163WC1600X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No171R00000XOther Service ProvidersInterpreter
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No347C00000XTransportation ServicesPrivate Vehicle
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No385H00000XRespite Care FacilityRespite Care