DELESA SHANA KAY WALDEN NPI 1902413636

NPI Information

NPI: 1902413636
Provider Name: DELESA SHANA KAY WALDEN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
200 MEDICAL PARK BLVD
PETERSBURG, VA
ZIP 23805
Phone: (804) 765-5000
Get Directions

Delesa Shana Kay Walden is a medical-surgical registered nurse in Petersburg, VA. Delesa Shana Kay Walden NPI is 1902413636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MEDICAL PARK BLVD
PETERSBURG, VA
ZIP 23805-274
Phone: (804) 765-5000

The enumeration date for this NPI number is 9/27/2020 and was last updated on 9/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024180176	VIRGINIA	No
2	163WM0705X	Registered Nurse	Medical-Surgical	0001268158	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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