Provider Demographics
NPI:1982297248
Name:BELDING, VALERIE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:BELDING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-2806
Mailing Address - Country:US
Mailing Address - Phone:605-940-0599
Mailing Address - Fax:
Practice Address - Street 1:3401 S KELLEY AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-6300
Practice Address - Country:US
Practice Address - Phone:605-275-6128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA107353363AM0700X
SD1284363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical