Walden Family Health Care LLC
Nurse Practitioner, Family in Spencer, IN. Organization (NPI-2).
NPI number1063147809
StatusActive
Last updated in NPPESJul 17, 2022
Details
- NPI
- 1063147809
- Entity type
- Organization (NPI-2)
- Legal business name
- Walden Family Health Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2022
- Certification date
- Jul 17, 2022
- Last updated
- Jul 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
3775 Hyden RdSpencer, IN 47460-8004
Phone 812-624-8292 · Fax 812-247-8297
Mailing address
3775 Hyden RdSpencer, IN 47460-8004
Phone 812-624-8292 · Fax 812-247-8297
Authorized official
Dana Louise Walden
Fnp
8123204416
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