Individual provider · Type 1 NPI
Nikita Waller, CNIM
Electroneurodiagnostic Specialist/Technologist · Stonecrest, GA
NPI number
1669907507
Active
Practice location
3635 Pebble St
Stonecrest, GA 30038-3395
Mailing address
3035 SE Maricamp Rd Ste 104-238
Ocala, FL 34471-6201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1669907507
Nikita Waller, CNIM's National Provider Identifier is 1669907507, issued on Apr 28, 2017. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Stonecrest, GA. The record was last updated on Feb 13, 2021.