Provider Demographics
NPI:1043249188
Name:WALKER, DARLA K (APRN)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:K
Last Name:WALKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DARLA
Other - Middle Name:K
Other - Last Name:SCARROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:2630 26TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2220
Mailing Address - Country:US
Mailing Address - Phone:806-765-8443
Mailing Address - Fax:806-749-1181
Practice Address - Street 1:2630 26TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2220
Practice Address - Country:US
Practice Address - Phone:806-765-8443
Practice Address - Fax:806-749-1181
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP106970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142617304Medicaid
TX342087100OtherFIRSTCARE
TX8423NNOtherBCBS
NM85529222Medicaid
TX8423NNOtherBCBS
NM85529222Medicaid
TX342087100OtherFIRSTCARE