Individual provider · Type 1 NPI

Erik Waller

Administrator Registered Nurse · Hattiesburg, MS

NPI number 1699147033 Active

Practice location

231 Methodist Blvd
Hattiesburg, MS 39402-1297

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XR895622 (MS)

Administrator Registered Nurse: Definition to come...

3 other providers at this address

About NPI 1699147033

Erik Waller's National Provider Identifier is 1699147033, issued on Oct 26, 2015. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 26, 2015.