Provider Demographics
NPI:1982420675
Name:WALKER, ALLIE RENEE
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:RENEE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 RIVER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-5356
Mailing Address - Country:US
Mailing Address - Phone:530-921-1705
Mailing Address - Fax:
Practice Address - Street 1:1049 RIVER RIDGE DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-5356
Practice Address - Country:US
Practice Address - Phone:530-921-1705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula