Individual provider · Type 1 NPI

Katie Waller

Psychiatric/Mental Health Nurse Practitioner · Fort Smith, AR

NPI number 1043074396 Active

Practice location

3111 S 70th St
Fort Smith, AR 72903-5017

Mailing address

1014 Red Oak St
Elkins, AR 72727-7201

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X227616 (AR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043074396

Katie Waller's National Provider Identifier is 1043074396, issued on Feb 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Smith, AR. The record was last updated on Feb 7, 2024.