Individual provider · Type 1 NPI

Norelle Kaylee-Rivera Walzer, PA-C

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1194118158 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125

Other practice locations

  • 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 828-3030
  • 11958 W Broad St, Richmond, VA 23233-1007 · (804) 828-3030
  • 1213 E Clay St, Richmond, VA 23298-5071 · (804) 828-3030

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed
Physician Assistant 363A00000X0110011119 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1194118158

Norelle Kaylee-Rivera Walzer, PA-C's National Provider Identifier is 1194118158, issued on Mar 13, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 10, 2026.