Basic Information
| Provider Information | |||||||||
| NPI: | 1659520898 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | NICOLE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 PRYTANIA ST STE 35 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701153678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048978681 | ||||||||
| FaxNumber: | 5042495911 | ||||||||
| Practice Location | |||||||||
| Address1: | 3434 PRYTANIA ST STE 410 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701153574 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048978681 | ||||||||
| FaxNumber: | 5042495311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2008 | ||||||||
| LastUpdateDate: | 09/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 065914 | GA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 56595 | TN | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 4301100225 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 2086X0206X | 331523 | LA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
No ID Information.