Entity Name: | DR. NATASHA WALKER, APRN, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 25 Apr 2022 (3 years ago) |
Document Number: | L22000194841 |
FEI/EIN Number | 88-2303344 |
Address: | 2373 POST STREET, PALM SPRINGS, FL, 33406, US |
Mail Address: | 2373, POST STREET, PALM SPRINGS, FL, 33406, US |
ZIP code: | 33406 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073212676 | 2023-03-02 | 2024-04-10 | 2373 POST ST, PALM SPRINGS, FL, 334063603, US | 7859 LAKEWORTH ROAD, LAKEWORTH BEACH, FL, 33467, US | |||||||||||||||||||||||
|
Phone | +1 561-889-2866 |
Authorized person
Name | NATASHA WALKER |
Role | OWNER/NURSE PRACTITIONER |
Phone | 5618892866 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | No |
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1467817585 |
State | FL |
Name | Role | Address |
---|---|---|
WALKER NATASHA E | Agent | 2373 POST STREET, PALM SPRINGS, FL, 33406 |
Name | Role | Address |
---|---|---|
WALKER NATASHA E | Manager | 2373 POST STREET, PALM SPRINGS, FL, 33406 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-25 |
ANNUAL REPORT | 2023-04-30 |
Florida Limited Liability | 2022-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State