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
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | R895622 (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.