NPI 1659689735 · live from the CMS NPI Registry
Sandra Anderson Walker, RN
Registered Nurse, General Practice in Port Jefferson Station, NY. National Provider Identifier 1659689735, active.
NPI record
| NPI | 1659689735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 68 Central Ave, Port Jefferson Station, NY 11776 |
| Practice phone | 631-681-8475 |
| Enumerated | September 22, 2010 |
| Last updated | September 22, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 236180-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.