TEELA J WALKER


Address: 250 Craftsman Cir, Suffolk, VA 23434-1530
Phone: 3058336233

TEELA J WALKER (NPI# 1689287583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689287583
Entity Type Individual
Full Name TEELA J WALKER
Credential NP
Practice Address 250 Craftsman Cir
Suffolk
VA 23434-1530
Mailing Address Po Box 3283
Suffolk
VA 23439-3283
Practice Telephone 3058336233
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
0024180004 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Gresham Dr, Norfolk, VA 235071904 7573883000

Office Location

Street Address 250 CRAFTSMAN CIR
City SUFFOLK
State VA
Zip Code 23434-1530

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SUFFOLK
Zip Code 23434

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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