Individual provider · Type 1 NPI

Breyocha Dewalt, NP

Acute Care Nurse Practitioner · Memphis, TN

NPI number 1548045263 Active

Practice location

1211 Union Ave Ste 965
Memphis, TN 38104-6638

Fax (901) 478-0781

Mailing address

PO Box 1000, Dept 960
Memphis, TN 38148-0001

Other practice locations

  • 1251 Wesley Dr Ste 153, Memphis, TN 38116-6443 · (901) 435-8550

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X0000223825 (TN)
Acute Care Nurse Practitioner Primary 363LA2100X34590 (TN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1548045263

Breyocha Dewalt, NP's National Provider Identifier is 1548045263, issued on Aug 30, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Memphis, TN. The record was last updated on Sep 20, 2023.