Individual provider · Type 1 NPI

Emily Katherine Waller, MD

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1265283022 Active

Practice location

4301 W Markham, Slot #589
Little Rock, AR 72205-7101

Call (501) 526-8148 Map

Mailing address

1412 Pine Valley Rd
Little Rock, AR 72207-2633

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265283022

Emily Katherine Waller, MD's National Provider Identifier is 1265283022, issued on Mar 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 29, 2024.