Individual provider · Type 1 NPI

Thomasena Sarahdetta Waller, RN

Registered Nurse · Greenville, SC

NPI number 1679909659 Active

Practice location

701 Grove Rd
Greenville, SC 29605-4210

Call (864) 455-7000 Map

Mailing address

102 Laurel View Ln
Greenville, SC 29607-4740

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	00049712 (SC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679909659

Thomasena Sarahdetta Waller, RN's National Provider Identifier is 1679909659, issued on Sep 23, 2013. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Greenville, SC. The record was last updated on Sep 23, 2013.