Angela O Waller, FNP
NPI #1194774190 in Natchez, Mississippi
Provider Information
- NPI Number
- 1194774190
- Entity Type
- Individual
- Name
- Angela O Waller, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- May 8, 2006
- Last Updated
- Jan 10, 2022
Practice Location
- Address
- 300 HIGHLAND BLVD
- Address 2
- SUITE B
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-4600
- Phone
- (601) 304-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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