Provider Demographics
NPI:1053800268
Name:WALKER, MELISSA ANN (PA)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 108809
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73101-8809
Mailing Address - Country:US
Mailing Address - Phone:405-622-3699
Mailing Address - Fax:
Practice Address - Street 1:5472 MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-5524
Practice Address - Country:US
Practice Address - Phone:405-622-3699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2023-07-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant