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Angela O Waller, FNP
Family Nurse Practitioner in Natchez, Mississippi
NPI 1194774190

Angela O Waller is a Family Nurse Practitioner based in Lordsburg, MS and is specialized in Family. Angela O Waller practices in Natchez, MS and has the professional credentials of FNP. The NPI Number for Angela O Waller is 1194774190 and holds a License No. AP04732 (Mississippi).

The current practice location address for Angela O Waller is 300 Highland Blvd, Natchez, MS and can be reached out via phone at 601-304-2421. You can also correspond with Angela O Waller through the mailing address at 530 DEMOSS STREET, LORDSBURG, NM - 88045-4600 (mailing address contact number: 575-542-8384).

Location: 300 Highland Blvd, Natchez, MS, 88045-4600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194774190
Provider Name
Angela O Waller
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
300 Highland Blvd, Natchez, MS, 88045-4600
Phone Number
601-304-2421
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1343447 05 LA
04705271 05 MS
institution
Provider Business Practice Location Address Details
Address
300 Highland Blvd
City
Natchez
State
Mississippi
Zip
39120-4600
Phone Number
601-304-2421
Fax Number
person
Provider Business Mailing Address Details
Address
530 Demoss Street
City
Lordsburg
State
New Mexico
Zip
88045-4600
Phone Number
575-542-8384
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R853759 (Mississippi)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP04732 (Louisiana)
Definition
Definition to come...
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