Provider Demographics
NPI:1912470097
Name:WALKER, TAYLER ALYSE (CRNA)
Entity Type:Individual
Prefix:
First Name:TAYLER
Middle Name:ALYSE
Last Name:WALKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 HOWELL MILL RD NW UNIT 1201
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5966
Mailing Address - Country:US
Mailing Address - Phone:404-825-2081
Mailing Address - Fax:
Practice Address - Street 1:980 HOWELL MILL RD NW UNIT 1201
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5966
Practice Address - Country:US
Practice Address - Phone:404-825-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230745367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered