Individual provider · Type 1 NPI
Kayla Renae Waller, FNP-C
Family Nurse Practitioner · Tallahassee, FL
NPI number
1417535535
Active
Practice location
1219 Hodges Dr
Tallahassee, FL 32308-4611
Mailing address
3858 W Pinetree Blvd
Thomasville, GA 31792-8823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN248191 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN11011958 (FL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1417535535
Kayla Renae Waller, FNP-C's National Provider Identifier is 1417535535, issued on Mar 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tallahassee, FL. The record was last updated on Apr 3, 2021.