Provider Demographics
NPI:1023769478
Name:WALKER, MAJUANNA
Entity type:Individual
Prefix:
First Name:MAJUANNA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33595-1031
Mailing Address - Country:US
Mailing Address - Phone:813-786-4155
Mailing Address - Fax:813-324-8583
Practice Address - Street 1:701 N PARSONS AVE STE D
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3441
Practice Address - Country:US
Practice Address - Phone:813-304-8643
Practice Address - Fax:813-324-8583
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide