Basic Information
| Provider Information | |||||||||
| NPI: | 1982297248 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELDING | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 N PINE ST | ||||||||
| Address2: | |||||||||
| City: | VERMILLION | ||||||||
| State: | SD | ||||||||
| PostalCode: | 570692806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6059400599 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3401 S KELLEY AVE | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571066300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6052756128 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2021 | ||||||||
| LastUpdateDate: | 02/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 107353 | IA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363AM0700X | 1284 | SD | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.