Provider Demographics
NPI:1679449037
Name:DELUA, SHALYN
Entity type:Individual
Prefix:
First Name:SHALYN
Middle Name:
Last Name:DELUA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHAY
Other - Middle Name:
Other - Last Name:DELUA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7101 NW EXPRESSWAY STE 755
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1564
Mailing Address - Country:US
Mailing Address - Phone:405-902-3209
Mailing Address - Fax:
Practice Address - Street 1:7101 NW EXPRESSWAY STE 755
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1564
Practice Address - Country:US
Practice Address - Phone:405-902-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education