IndividualActive
D'Andra Mixon-Walker, PA-C
NPI 1285375188 · Physician Assistant · Summit, IL
Provider details
- NPI number
- 1285375188
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7450 W 63rd St
Summit, IL 60501-1816
Phone: (708) 458-0757
Approximate (ZIP-level) locationGet directions
Mailing address
1724 E 36th Ave
Denver, CO 80205-4033
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.