Cassandra Walker, NP
Nurse Practitioner, Family in Frederick, MD. Individual provider (NPI-1).
NPI number1366046682
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1366046682
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Walker
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2020
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R212921 | MD | Yes |
| 363L00000X | Nurse Practitioner | 0024187352 | VA |
Other names
- Cassandra Rodriguez (Former Name)
Practice location
97 Thomas Johnson Dr Ste 200Frederick, MD 21702-4374
Phone 240-547-6464
Mailing address
253 Kerchner RdWalkersville, MD 21793-8259
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