Healthcare Provider Details

I. General information

NPI: 1013993666
Provider Name (Legal Business Name): DELILA C OJEDA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DELILA C OJEDA ARNP

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 S 2ND AVE
WALLA WALLA WA
99362-4118
US

IV. Provider business mailing address

1111 S 2ND AVE
WALLA WALLA WA
99362-4118
US

V. Phone/Fax

Practice location:
  • Phone: 509-522-0100
  • Fax: 509-527-8010
Mailing address:
  • Phone: 509-522-0100
  • Fax: 509-527-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP 30001738
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: