Waller, Nancy
Waller, Nancy is an individual health care provider with primary practice located at 701 25Th Ave S #306, Minneapolis MN 55454-1513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Waller, Nancy can be contacted via phone (612) 672-2350.Contact Information
Primary practice address
701 25Th Ave S #306
Minneapolis MN 55454-1513
Phone: (612) 672-2350
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41111 | Minnesota |
Profile Details
NPI number | 1508833419 |
---|---|
LBN Legal business name | Waller, Nancy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | May 15th, 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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