Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaelyn Davis Waller, MSN, CPNP-AC, CHPPN

Individual provider Pediatric Nurse Practitioner · NPI 1053012542

Shaelyn Davis Waller, MSN, CPNP-AC, CHPPN is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence SP027298 (PA)

Record details

NPI number1053012542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CPNP-AC , CHPPN
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

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