Individual provider · Type 1 NPI

Katie Waller, F.N.P.

Family Nurse Practitioner · Woodland, CA

NPI number 1972971018 Active

Practice location

1321 Cottonwood St Fl 3
Woodland, CA 95695

Fax (530) 661-2410

Mailing address

3400 Data Dr, Attn: Credentialing Payer Enrollment
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95002750 (CA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1972971018

Katie Waller, F.N.P.'s National Provider Identifier is 1972971018, issued on Sep 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodland, CA. The record was last updated on Jun 28, 2018.