person
Mrs. Nancy Waller, PA
Medical Physician Assistant in Pueblo, Colorado
NPI 1093982647

Nancy Waller is a Medical Physician Assistant based in Pueblo, CO and is specialized in Medical. Nancy Waller practices in Pueblo, CO and has the professional credentials of PA. The NPI Number for Nancy Waller is 1093982647 and holds a License No. 120 (Colorado).

The current practice location address for Nancy Waller is 1339 S Pueblo Blvd, Pueblo, CO and can be reached out via phone at 719-647-5831 and via fax at 719-647-5833.

Location: 1339 S Pueblo Blvd, Pueblo, CO, 81005-1508
person
Provider Profile Details
NPI Number
1093982647
Provider Name
Nancy Waller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1339 S Pueblo Blvd, Pueblo, CO, 81005-1508
Phone Number
719-647-5831
Fax Number
719-647-5833
Provider Enumeration Date
05/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1339 S Pueblo Blvd
City
State
Zip
81005-1508
Phone Number
719-647-5831
Fax Number
719-647-5833
person
Provider Business Mailing Address Details
Address
1339 S Pueblo Blvd
City
State
Zip
81005-1508
Phone Number
719-647-5831
Fax Number
719-647-5833
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
120 (Colorado)
Definition
Definition to come...
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