Walker, Tracey L

Walker, Tracey L is an individual health care provider with primary practice located at 5224 E I 240 Service Rd Ste 201 , Oklahoma City OK 73135-2607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Walker, Tracey L can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
5224 E I 240 Service Rd Ste 201 Oklahoma City OK 73135-2607
Phone: (405) 608-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R0056064 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 56064 Oklahoma

Profile Details

NPI number 1649267436
LBN Legal business name Walker, Tracey L
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 26th, 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 1649267436 NPPES
Oklahoma MEDICAID 200033840A

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