Waller, Nancy
Waller, Nancy is an sole proprietor health care provider with primary practice located at 1339 S Pueblo Blvd , Pueblo CO 81005-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Waller, Nancy can be contacted via phone (719) 647-5831.Contact Information
Primary practice address
1339 S Pueblo Blvd
Pueblo CO 81005-1508
Phone: (719) 647-5831
Fax: (719) 647-5833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 120 | Colorado |
Profile Details
| NPI number | 1093982647 |
|---|---|
| LBN Legal business name | Waller, Nancy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2008 |
| Last updated | May 13th, 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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