Individual provider · Type 1 NPI

Tamesha Waller

Nurse Practitioner · Altamonte Springs, FL

NPI number 1740124288 Active

Practice location

480 W Central Pkwy
Altamonte Springs, FL 32714-2415

Mailing address

4718 Saddle Creek Pl
Orlando, FL 32829-8689

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11046810 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740124288

Tamesha Waller's National Provider Identifier is 1740124288, issued on Apr 15, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Altamonte Springs, FL. The record was last updated on Apr 15, 2026.