Provider Demographics
NPI:1396633558
Name:WALKER, TIFFANY LYNN-MARIE (CNA, CMA)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LYNN-MARIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:CNA, CMA
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:LYNN-MARIE
Other - Last Name:MERIZALDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA,CMA
Mailing Address - Street 1:3950 N 104TH PLZ APT 101
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-7746
Mailing Address - Country:US
Mailing Address - Phone:402-658-2249
Mailing Address - Fax:
Practice Address - Street 1:3950 N 104TH PLZ APT 101
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-7746
Practice Address - Country:US
Practice Address - Phone:402-658-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist