Delesa Shana Kay Walden
Nurse Practitioner, Family in Sun City Center, FL. Individual provider (NPI-1).
NPI number1902413636
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1902413636
- Entity type
- Individual (NPI-1)
- Name
- Delesa Shana Kay Walden
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2020
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11013082 | FL | Yes |
| 163W00000X | Registered Nurse | RN9573407 | FL |
Practice location
717 Imar DrSun City Center, FL 33573-5368
Phone 813-634-3500
Mailing address
Po Box 917770Orlando, FL 32891-0001
Phone 813-821-8038
Other practice locations
4016 Sun City Center Blvd
Sun City Center, FL 33573-5256
Sun City Center, FL 33573-5256
Phone 813-634-3301
1325 Lakeland Hills Blvd
Lakeland, FL 33805-4544
Lakeland, FL 33805-4544
Phone 813-821-8034
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