Adam Waller, NP
NPI #1508476615 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1508476615
- Entity Type
- Individual
- Name
- Adam Waller, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Aug 4, 2020
- Last Updated
- May 23, 2022
Practice Location
- Address
- 502 W SAINT LOUIS ST STE 4
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-1968
- Phone
- (618) 937-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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