Kim Susan Walker, NURSE PRACTITIONER | |
27397 North Bay Road, Lake Arrowhead, CA 92352-0925 | |
(909) 744-7591 | |
Not Available |
Full Name | Kim Susan Walker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 27397 North Bay Road, Lake Arrowhead, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598549578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95026513 (California) | Primary |
Entity Name | Optima Health Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245892066 PECOS PAC ID: 3779911466 Enrollment ID: O20200311001414 |
Entity Name | Symbiosis Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255993176 PECOS PAC ID: 7719310465 Enrollment ID: O20230526001733 |
Mailing Address | Practice Location Address |
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Kim Susan Walker, NURSE PRACTITIONER Po Box 925, Lake Arrowhead, CA 92352-0925 Ph: (909) 744-7591 | Kim Susan Walker, NURSE PRACTITIONER 27397 North Bay Road, Lake Arrowhead, CA 92352-0925 Ph: (909) 744-7591 |
Ms. Frances Lodge Davis, NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27718 West Shore, Lake Arrowhead, CA 92352 Phone: 909-337-6648 | |
Katherine Victoria Herzog, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28200 Highway 189 Ste 2-220, Lake Arrowhead, CA 92352 Phone: 714-398-5246 | |
Ms. Mary Edith Galvin, RNC FNP PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29011 Hospital Rd, Ste 200, Lake Arrowhead, CA 92352 Phone: 909-336-9715 Fax: 909-336-5751 | |
Sussan C Nwogwugwu, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29101 Hospital Rd, Lake Arrowhead, CA 92352 Phone: 909-436-3235 |