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Mr. Spencer Waller, FNP
Nurse Practitioner in Pueblo, Colorado
NPI 1033629241

Spencer Waller is a Nurse Practitioner based in Pueblo, CO. Spencer Waller practices in Pueblo, CO and has the professional credentials of FNP. The NPI Number for Spencer Waller is 1033629241 and holds a License No. ANP.0993430-NP (Colorado).

The current practice location address for Spencer Waller is 400 W 16Th St, Pueblo, CO and can be reached out via phone at 719-584-4306 and via fax at 719-595-7886.

Location: 400 W 16Th St, Pueblo, CO, 81003-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033629241
Provider Name
Spencer Waller
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
400 W 16Th St, Pueblo, CO, 81003-2781
Phone Number
719-584-4306
Fax Number
719-595-7886
Provider Enumeration Date
10/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2781
Phone Number
719-584-4306
Fax Number
719-595-7886
person
Provider Business Mailing Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2781
Phone Number
719-584-4306
Fax Number
719-595-7886
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
ANP.0993430-NP (Colorado)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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