Waller, Amelia B
Waller, Amelia B is an individual health care provider with primary practice located at 1625 Se 3Rd Ave # 601 , Ft Lauderdale FL 33316-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waller, Amelia B can be contacted via phone (954) 712-1115.Contact Information
Primary practice address
1625 Se 3Rd Ave # 601
Ft Lauderdale FL 33316-2521
Phone: (954) 712-1115
Fax: (954) 462-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2173192 | Florida |
Profile Details
| NPI number | 1013971324 |
|---|---|
| LBN Legal business name | Waller, Amelia B |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jan 2nd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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