Walker, Shanah Denise

Walker, Shanah Denise is an individual health care provider with primary practice located at 9111 Susan Dr , Shreveport LA 71118-3136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Walker, Shanah Denise can be contacted via phone (318) 212-5343.

Contact Information

Primary practice address
9111 Susan Dr Shreveport LA 71118-3136
Fax: (318) 212-5360
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN121512-AP06572 Louisiana

Profile Details

NPI number 1093093056
LBN Legal business name Walker, Shanah Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093093056 NPPES
Louisiana MEDICAID 2158775

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