Individual
SHAELYN DAVIS WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-AC, CHPPN
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3815 HAVERFORD AVE APT 3, PHILADELPHIA, PA 19104-2896
(347) 404-2593
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP027298
PA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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