Individual provider · Type 1 NPI

Courtney Renee Waller, CNA

Nurse's Aide · Gainesville, FL

NPI number 1164838827 Active

Practice location

4300 SW 13th St
Gainesville, FL 32608-4006

Call (352) 374-5600 Map

Mailing address

336 NW Primitive Gln
Lake City, FL 32055-8577

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X262749 (FL)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1164838827

Courtney Renee Waller, CNA's National Provider Identifier is 1164838827, issued on Jul 2, 2014. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 2, 2014.