Provider Demographics
NPI:1447629431
Name:WALDEN, VICKI
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:WALDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:DELPHIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNM
Mailing Address - Street 1:1517 CANTERBURY ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7496
Mailing Address - Country:US
Mailing Address - Phone:405-308-8738
Mailing Address - Fax:
Practice Address - Street 1:205 W MAIN ST # 220
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1310
Practice Address - Country:US
Practice Address - Phone:405-308-8738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No173C00000XOther Service ProvidersReflexologist
No175L00000XOther Service ProvidersHomeopath
No176B00000XOther Service ProvidersMidwife