MR. Edward Nicholas Waller, FNP-BC
NPI #1124672118 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1124672118
- Entity Type
- Individual
- Name
- MR. Edward Nicholas Waller, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Jul 29, 2019
- Last Updated
- Jul 29, 2019
Practice Location
- Address
- 25 CARLETON ST
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02142-1323
- Phone
- (617) 253-4481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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