Individual provider · Type 1 NPI

Maya Waller

Student in an Organized Health Care Education/Training Program · Woodbury, MN

NPI number 1366282196 Active

Practice location

1811 Weir Dr Ste 240
Woodbury, MN 55125-2272

Call (651) 714-9646 Map

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 1366282196

Maya Waller's National Provider Identifier is 1366282196, issued on May 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodbury, MN. The record was last updated on May 29, 2024.