Provider Demographics
NPI:1952432734
Name:BROWKA-WALKER, CAROL M (RN CBS)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:M
Last Name:BROWKA-WALKER
Suffix:
Gender:F
Credentials:RN CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 E MAIN STREET RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-3433
Mailing Address - Country:US
Mailing Address - Phone:585-344-1421
Mailing Address - Fax:585-344-3047
Practice Address - Street 1:5130 E MAIN STREET RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-3433
Practice Address - Country:US
Practice Address - Phone:585-344-1421
Practice Address - Fax:585-344-3047
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183348-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY183348-1OtherLICENSE