Individual provider · Type 1 NPI

Anita M. Waller, PA-C

Physician Assistant · Centennial, CO

NPI number 1558414482 Active

Practice location

6465 Greenwood Plaza Blvd Ste 300
Centennial, CO 80111-7101

Mailing address

2315 Hooker St
Denver, CO 80211-4530

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1661 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558414482

Anita M. Waller, PA-C's National Provider Identifier is 1558414482, issued on Jan 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Centennial, CO. The record was last updated on Jul 8, 2007.