Individual
SHELLY M WALDERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP-BC
Contact information
Practice address
916 KOALA DR, OMAK, WA 98841
(509) 662-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598850786
—
WA
Enumeration date
10/04/2006
Last updated
05/16/2018
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