Waller, Katie

Waller, Katie is an individual health care provider with primary practice located at 1321 Cottonwood St Fl 3 , Woodland CA 95695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waller, Katie can be contacted via phone (530) 668-2600.

Contact Information

Primary practice address
1321 Cottonwood St Fl 3 Woodland CA 95695
Phone: (530) 668-2600
Fax: (530) 661-2410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002750 California

Profile Details

NPI number 1972971018
LBN Legal business name Waller, Katie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2015
Last updated Jun 28th, 2018 - about 6 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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