Provider Demographics
NPI:1447054655
Name:WALKER, PHAYEONA (DOULA)
Entity type:Individual
Prefix:
First Name:PHAYEONA
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 E 29TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-5201
Mailing Address - Country:US
Mailing Address - Phone:949-701-3279
Mailing Address - Fax:
Practice Address - Street 1:165 E 29TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-5201
Practice Address - Country:US
Practice Address - Phone:949-701-3279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula