Individual provider · Type 1 NPI
Ansley Waller, MSN, APRN, AGACNP-BC
Gerontology Registered Nurse · Bedford, TX
NPI number
1285354985
Active
Practice location
2425 Highway 121 Ste 201
Bedford, TX 76021-5011
Fax (817) 283-5176
Mailing address
3801 William D Tate Ave Ste 105
Grapevine, TX 76051-8755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1097452 (TX) |
| Gerontology Registered Nurse Primary | 163WG0600X | 1097452 (TX) |
Gerontology Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1285354985
Ansley Waller, MSN, APRN, AGACNP-BC's National Provider Identifier is 1285354985, issued on Sep 1, 2022. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Bedford, TX. The record was last updated on Jan 11, 2023.