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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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