Provider Demographics
NPI:1164253498
Name:WALKER, DEVIN (LPN)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 E SOUTH RIVERTON AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5467
Mailing Address - Country:US
Mailing Address - Phone:509-270-6166
Mailing Address - Fax:
Practice Address - Street 1:10811 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001-5345
Practice Address - Country:US
Practice Address - Phone:509-481-4990
Practice Address - Fax:509-223-4644
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91002164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse