Provider Demographics
NPI:1548709116
Name:WALKER-HALLIMAN, SANDRA (MSN, RN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:WALKER-HALLIMAN
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:HALLIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:1414 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-5508
Mailing Address - Country:US
Mailing Address - Phone:843-696-7567
Mailing Address - Fax:
Practice Address - Street 1:1414 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-5508
Practice Address - Country:US
Practice Address - Phone:843-696-7567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC59605163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development