MRS. Nancy Waller, PA

NPI #1093982647 in Pueblo, Colorado

Provider Information

NPI Number
1093982647
Entity Type
Individual
Name
MRS. Nancy Waller, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
May 13, 2008
Last Updated
May 13, 2008

Practice Location

Address
1339 S PUEBLO BLVD
City
Pueblo
ZIP Code
81005-1508
Phone
(719) 647-5831

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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