Provider Demographics
NPI:1831333558
Name:WALKER, SHEILA RENEE
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RENEE
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 1:2050 BETTY LN
Mailing Address - Street 2:UNIT 104
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-5605
Mailing Address - Country:US
Mailing Address - Phone:702-459-1980
Mailing Address - Fax:
Practice Address - Street 1:2050 BETTY LN
Practice Address - Street 2:UNIT 104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89156-5605
Practice Address - Country:US
Practice Address - Phone:702-459-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000366.571376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker