Walker, Vanessa Renise

Walker, Vanessa Renise is an sole proprietor health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Walker, Vanessa Renise can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R40252 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R40252 North Dakota

Profile Details

NPI number 1972068484
LBN Legal business name Walker, Vanessa Renise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Sep 12th, 2025 - about last year

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 1972068484 NPPES
Other AG02190071 CERTIFICATION NUMBER

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