Provider Demographics
NPI:1730585480
Name:WALKER, PAMMALIER (FNP)
Entity type:Individual
Prefix:
First Name:PAMMALIER
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAMMALIER
Other - Middle Name:
Other - Last Name:LACOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4855 VIRGILIAN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-3936
Mailing Address - Country:US
Mailing Address - Phone:504-246-3913
Mailing Address - Fax:
Practice Address - Street 1:4855 VIRGILIAN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3936
Practice Address - Country:US
Practice Address - Phone:504-246-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily