Individual provider · Type 1 NPI

Sanettra Mae Waller

Licensed Vocational Nurse · Rockville, MD

NPI number 1043832736 Active

Practice location

2 Taft Ct Ste 200
Rockville, MD 20850-1390

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XLP95133 (MD)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1043832736

Sanettra Mae Waller's National Provider Identifier is 1043832736, issued on May 15, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Rockville, MD. The record was last updated on May 15, 2020.