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Brent Steven Waller, FNP-BC
Family Nurse Practitioner in Anaheim, California
NPI 1356973432

Brent Steven Waller is a Family Nurse Practitioner based in Anaheim, CA and is specialized in Family. Brent Steven Waller practices in Anaheim, CA and has the professional credentials of FNP-BC. The NPI Number for Brent Steven Waller is 1356973432 and holds a License No. 95013038 (California).

The current practice location address for Brent Steven Waller is 3400 W Ball Rd Ste 207, Anaheim, CA and can be reached out via phone at 714-683-5100.

Location: 3400 W Ball Rd Ste 207, Anaheim, CA, 92807-4897
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Provider Profile Details
NPI Number
1356973432
Provider Name
Brent Steven Waller
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
3400 W Ball Rd Ste 207, Anaheim, CA, 92807-4897
Phone Number
714-683-5100
Fax Number
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95013038 01 CA CA BRN
institution
Provider Business Practice Location Address Details
Address
3400 W Ball Rd Ste 207
City
State
Zip
92804-3737
Phone Number
714-683-5100
Fax Number
person
Provider Business Mailing Address Details
Address
3400 W Ball Rd Ste 207
City
State
Zip
92804-3737
Phone Number
714-683-5100
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95013038 (California)
Definition
Definition to come...
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