Nancy Waller is a Medical in Pueblo, Colorado. Nancy Waller practices all healthcare services and medical treatments related to Medical. The NPI Number for Nancy Waller is 1093982647. The last update date is 2008-05-13.
Nancy Waller's current location address is 1339 S Pueblo Blvd, Pueblo, Colorado. You can contact this provider via phone number 7196475831 and fax number 7196475833. The mailing address for Nancy Waller is 1339 S Pueblo Blvd, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy Waller |
|---|---|
| Address | 1339 S Pueblo Blvd, Pueblo, Colorado |
| Phone Number | 7196475831 |
| Fax Number | 7196475833 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1093982647 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 1339 S Pueblo Blvd |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810051508 |
| Phone Number | 7196475831 |
| Fax Number | 7196475833 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 120 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the Nancy Waller's unique identification number?
The Nancy Waller has been assigned the NPI (National Provider Identifier) Number 1093982647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Nancy Waller is geographically located?
The Nancy Waller is physically situated at the following location: 1339 S Pueblo Blvd, Pueblo, CO, 810051508.
What is the Nancy Waller's specialty and taxonomy code?
The Nancy Waller's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Nancy Waller receive its 1093982647 assignment from the Centers for Medicare & Medicaid Services?
The Nancy Waller was assigned its 1093982647 by the Centers for Medicare & Medicaid Services on 2008-05-13.
When was the information regarding Nancy Waller, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nancy Waller, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-13.