Individual provider · Type 1 NPI

Sandra D. Waller, FNP, MSN

Nurse Practitioner · Memphis, TN

NPI number 1043260441 Active

Practice location

2861 Broad Ave
Memphis, TN 38112-2903

Call (901) 260-8500 Map

Fax (901) 325-6469

Mailing address

2595 Central Ave
Memphis, TN 38104-5905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN0000005098 (TN)

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 1043260441

Sandra D. Waller, FNP, MSN's National Provider Identifier is 1043260441, issued on May 10, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Memphis, TN. The record was last updated on Jun 6, 2012.