RICHARD LEE WALDEN


Address: 3413 Washington Ave, Ste. A, Gulfport, MS 39507-3039
Phone: 2282067780

RICHARD LEE WALDEN (NPI# 1992253082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992253082
Entity Type Individual
Full Name RICHARD LEE WALDEN
Credential RN
Practice Address 3413 Washington Ave
Ste. A
Gulfport
MS 39507-3039
Practice Telephone 2282067780
Practice Fax Number 2282067803
Mailing Telephone 2282067780
Mailing Fax Number 2282067803
Enumeration Date 2016-09-17
Last Update Date 2016-09-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R895162 MS Nursing Service Providers
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
R895162 MS Nursing Service Providers

Office Location

Street Address 3413 WASHINGTON AVE
STE. A
City GULFPORT
State MS
Zip Code 39507-3039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306147947 Richard Brown Ray Jr. Nurse Practitioner 3413 Washington Ave, Gulfport, MS 39507-3039 2010-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1538605027 Andrea Broussard Personal Emergency Response Attendant 406 Pass Rd, Gulfport, MS 39507 2017-01-09
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114139581 Mary Elizabeth Grant Registered Nurse 1120 63rd St S, Gulfport, FL 33707-3125 2007-05-05
1497219794 Rebecca Finnemore Registered Nurse 1600 Broad Ave, Gulfport, MS 39501-3603 2019-01-31
1922562354 Christiana Ratcliff Registered Nurse 1600 Broad Ave, Gulfport, MS 39501-3603 2019-01-30
1396907655 Pamela L Giveans Registered Nurse 8990 Lorraine Rd, Gulfport, MS 39503-4176 2008-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043734049 Creative Solutions Counseling Services Pllc Registered Nurse 902 14th St Ste B, Meridian, MS 39301-4455 2017-08-01
1275073157 Martha Phillips Catlette Registered Nurse 64 Pratt Place Rd, Inverness, MS 38753-9574 2017-02-27
1558770784 Tylinda Cotton Registered Nurse 91180 Hwy 42 West, Richton, MS 39476 2014-08-13
1508042722 Mary Dean Stone Registered Nurse 2100 East Chamberss, Booneville, MS 38829 2008-01-17
1144406430 Amy Cole Registered Nurse 2100 East Chambers, Booneville, MS 38829 2008-01-16
1689791105 Cheri Delilah Ann Beck Registered Nurse 804 Road 1349, Mooreville, MS 38857-7325 2007-03-22
1114533288 Lasontiga Forrest Registered Nurse 1701 White St, Mccomb, MS 39648-2711 2020-09-23
1063028512 Bobbi Jo Beck Registered Nurse 101 Highway 7 S, Greenwood, MS 38930-6055 2020-09-21
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1790393072 Melba Richardson Registered Nurse 330b Highway 90, Gautier, MS 39553-5744 2020-07-22
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Competitor

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City GULFPORT
Zip Code 39507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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