Individual provider · Type 1 NPI
Spencer Waller, FNP
Nurse Practitioner · Pueblo, CO
Practice location
400 W 16th St
Pueblo, CO 81003-2781
Fax (719) 595-7886
Other practice locations
- 1619 N Greenwood St Ste 309, Pueblo, CO 81003-2657 · (719) 544-7115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | ANP.0993430-NP (CO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1033629241
Spencer Waller, FNP's National Provider Identifier is 1033629241, issued on Oct 3, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pueblo, CO. The record was last updated on Mar 29, 2018.