Stephanie Waller

NPI #1992489991 in Portsmouth, Ohio

Provider Information

NPI Number
1992489991
Entity Type
Individual
Name
Stephanie Waller
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 12, 2023
Last Updated
Jun 12, 2023

Practice Location

Address
411 COURT ST
State
Ohio
ZIP Code
45662-3932
Phone
(740) 354-6685

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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