Doctor Name: | DELILA C OJEDA |
NPI Number: | 1013993666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP 30001738 |
Business Practice Address: | 1111 S 2nd Ave Walla Walla, WA - 993624118 |
Business Phone Number: | 5095220100 |
Business Fax Number: | 5095278010 |
Mailing Address: | 1111 S 2nd Ave, WALLA WALLA |
State: | WA |
Postal Code: | 993624118 |
Phone Number: | 5095220100 |
Fax Number: | 5095278010 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP 30001738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |