Individual provider · Type 1 NPI

Mallori Walker, CPNP

Pediatric Nurse Practitioner · West Lafayette, IN

NPI number 1295110336 Active

Practice location

253 Sagamore Pkwy W
West Lafayette, IN 47906-1501

Fax (765) 448-7611

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28180875A (IN)
Pediatric Nurse Practitioner Primary 363LP0200X71005771A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1295110336

Mallori Walker, CPNP's National Provider Identifier is 1295110336, issued on Jul 29, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Lafayette, IN. The record was last updated on Mar 1, 2021.