Brenda Diane Waller, RN

NPI #1104233949 in Kayenta, Arizona

Provider Information

NPI Number
1104233949
Entity Type
Individual
Name
Brenda Diane Waller, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jul 14, 2014
Last Updated
Jul 14, 2014

Practice Location

Address
HWY 160/163 BUILDING KA 2010
State
Arizona
ZIP Code
86033-0368
Phone
(928) 697-4100

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Registered Nurse - EmergencyEmergency

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