Individual provider · Type 1 NPI

Jordan Waller

Registered Nurse · Pueblo, CO

NPI number 1083220081 Active

Practice location

1 Wellness Way
Pueblo, CO 81006-2103

Call (719) 545-2746 Map

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Registered Nurse Primary 163W00000XRN.1649284 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083220081

Jordan Waller's National Provider Identifier is 1083220081, issued on Sep 16, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pueblo, CO. The record was last updated on Sep 16, 2020.