Individual provider · Type 1 NPI
Nancy Waller, PA
Medical Physician Assistant · Pueblo, CO
NPI number
1093982647
Active
Practice location
1339 S Pueblo Blvd
Pueblo, CO 81005-1508
Fax (719) 647-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 120 (CO) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
- Boone Guest HomeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pueblo, CO NPI 1396035887
- Destiny IncorporatedDevelopmentally Disabled Services Day Training Agency Pueblo, CO NPI 1629376603
- Sally Gonzales-Apodaca, C.P.A.Physician Assistant Pueblo, CO NPI 1114164795
Other medical physician assistant providers in Pueblo
- Juan Carlos Herraez Sanchez, PA-CMedical Physician Assistant Pueblo, CO NPI 1023342961
- Michael S. Walsh, PA-CMedical Physician Assistant Pueblo, CO NPI 1164584686
- Brittany Stadterman, PAMedical Physician Assistant Pueblo, CO NPI 1285040196
- Dayna Rae Hochevar, P.A.Medical Physician Assistant Pueblo, CO NPI 1356685747
- James L. Kramer, PA CMedical Physician Assistant Pueblo, CO NPI 1427046077
- Dolinda H. M. Gibson, PAMedical Physician Assistant Pueblo, CO NPI 1467461467
- Kelsey E. Barton, PA-CMedical Physician Assistant Pueblo, CO NPI 1487289443
- Benjamin Korf, PA-CMedical Physician Assistant Pueblo, CO NPI 1578948022
About NPI 1093982647
Nancy Waller, PA's National Provider Identifier is 1093982647, issued on May 13, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pueblo, CO. The record was last updated on May 13, 2008.