DEVAN C. WALICEK ARNP
NPI 1851589030
Nurse Practitioner - Pediatrics in Tampa, FL
Active since October 12, 2007
About Devan C. Walicek Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVAN C. WALICEK ARNP (NPI 1851589030) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (ARNP 9252149) and active in the NPI registry since October 2007.
NPPES Registry Identity
NPI1851589030
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEVAN C. WALICEKCredential: ARNP
Location Address3222 W AZEELE STTampa, FL 33609-3280
Mailing Address4033 Tampa Rd, Suite 101Oldsmar, FL 34677-3224 · (813) 854-2003 · Fax (813) 855-2367
Phone(813) 872-8491
Fax(813) 872-7766
Sole ProprietorNo
Enumeration DateOctober 12, 2007
Last NPPES UpdateMay 27, 2015
✔ NPI 1851589030 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP 9252149
3222 W AZEELE ST, Tampa, FL 33609
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851589030, enumerated as an "individual" on October 12, 2007.
The provider is located at 3222 W AZEELE ST TAMPA, FL 33609 and the phone number is (813) 872-8491.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
