Individual provider · Type 1 NPI

Keegan Waller

Family Nurse Practitioner · Atlanta, GA

NPI number 1265318653 Active

About NPI 1265318653

Keegan Waller's National Provider Identifier is 1265318653, issued on Aug 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 5, 2026.