Autumn Yvonne Walker, LPN

Individual provider Active NPI Licensed Practical Nurse · Battle Creek, MI

NPI 1407128697 · NPPES record last updated Feb 2, 2012

Key facts

NPI
1407128697
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703100328 (MI)
Practice address
200 Fremont St
Battle Creek, MI 49017-3764
Phone
(269) 753-9151
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703100328MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703100328 MI Yes

Addresses

Primary practice location

200 Fremont St
Battle Creek, MI 49017-3764

Mailing address

200 Fremont St
Battle Creek, MI 49017-3764
Phone (269) 753-9151

Other providers in Battle Creek, MI

All providers in Battle Creek, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.