MARY JEAN WALKER


Address: 300 Western Boulevard, Glastonbury, CT 06033
Phone: 8605470306

MARY JEAN WALKER (NPI# 1669571428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669571428
Entity Type Individual
Full Name MARY JEAN WALKER
Credential APRN
Practice Address 300 Western Boulevard
Glastonbury
CT 06033
Mailing Address 300 Western Blvd
Glastonbury
CT 06033-4305
Practice Telephone 8605470306
Practice Fax Number 8605259782
Mailing Telephone 8605259767
Mailing Fax Number 8605259782
Enumeration Date 2006-09-21
Last Update Date 2011-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
000442 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004208139 05

Office Location

Street Address 300 WESTERN BOULEVARD
City GLASTONBURY
State CT
Zip Code 06033

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477074649 Starling Physicians, PC Durable Medical Equipment & Medical Supplies 289 Western Blvd, Glastonbury, CT 06033 2017-06-28
1497284897 D&l Eyecare Optometrist 33 Welles Street, Glastonbury, CT 06033 2017-06-08
1730626235 Half Full Psychiatry LLC Clinic/Center 39 New London Tpke Ste 230f, Glastonbury, CT 06033 2017-01-23
1285000117 Olga A Levkina Physician Assistant 2928 Main St Ste 101, Glastonbury, CT 06033 2015-08-14
1619350576 Ryan Ilg Reichelt Dentist 131 New London Tpke Ste 211, Glastonbury, CT 06033 2015-07-09
1316320534 Devon Banda Orthopaedic Surgery The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 2015-07-07
1881073195 Brittney Stanley Counselor 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 2015-05-20
1780071878 Richard T. Risinger Dentist 88 Citizens Drive, Glastonbury, CT 06033 2015-04-16
1639568751 Carol Jane Gammell Counselor 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 2015-01-13
1407262611 Prashant Sinha Dentist 2874 Main Street, Glastonbury, CT 06033 2014-07-08
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548655038 Tania Richard Nurse Practitioner 17 Eastwood Rd, Groton, CT 06340-6010 2015-04-01
1710230842 Lenore Ann Leone Nurse Practitioner 500 Old Farms Rd, Avon, CT 06001-2716 2012-10-26
1992802037 Adele Silhavy Nurse Practitioner 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 2006-09-20
1902912827 Elizabeth Jensen Nurse Practitioner 120 Simsbury Rd Ste B, Avon, CT 06001-3735 2006-08-22
1578590485 Jean E. Mackay Nurse Practitioner 67 Hickory Hill Road, Simsbury, CT 06070 2006-06-27
1083687057 Jeanne Bedard Nurse Practitioner 346 Pomfret St, Putnam, CT 06260-1871 2006-02-09
1710963483 Karen Marie Wunderlich Nurse Practitioner 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 2005-12-15
1467628016 Jean D Vulte Nurse Practitioner 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 2008-05-05
1477766202 Timothy M Barczak Md LLC Nurse Practitioner 345 Montauk Ave, New London, CT 06320-4738 2007-05-08
1326166513 Jean Carol Ohliger Nurse Practitioner 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 2007-03-26
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Competitor

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City GLASTONBURY
Zip Code 06033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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