SHELLY M WALDERN ARNP FNP-BC NPI 1598850786

NPI Information

  • NPI: 1598850786
  • Provider Name: SHELLY M WALDERN, ARNP FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 916 KOALA DR
    OMAK, WA
    ZIP 98841
  • Phone: (509) 662-8711

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NPI Details

Shelly M Waldern, ARNP FNP-BC is a family nurse practitioner in Omak, WA. Shelly M Waldern, ARNP FNP-BC NPI is 1598850786. 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:

916 KOALA DR
OMAK, WA
ZIP 98841
Phone: (509) 662-8711

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/16/2018.

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
1363LF0000XNurse PractitionerFamilyAP30007126WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11598850786MEDICAIDWASHINGTON

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: 11/21/2025

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