Individual provider · Type 1 NPI

Tammy Kaye Waller, RN

Emergency Registered Nurse · Gallup, NM

NPI number 1144194119 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

401 E Logan Ave Rear
Gallup, NM 87301-6049

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X857254 (TX)

Emergency Registered Nurse: Definition to come...

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About NPI 1144194119

Tammy Kaye Waller, RN's National Provider Identifier is 1144194119, issued on Oct 2, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on Oct 2, 2025.