person
Deven Waller
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1750165205

Deven Waller is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Deven Waller practices in Albuquerque, NM. The NPI Number for Deven Waller is 1750165205 and holds a License No. (New Mexico).

The current practice location address for Deven Waller is 1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM and can be reached out via phone at 505-266-5565.

Location: 1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM, 87107-7002
person
Provider Profile Details
NPI Number
1750165205
Provider Name
Deven Waller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM, 87107-7002
Phone Number
505-266-5565
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 N Renaissance Blvd Ne Ste C
City
State
Zip
87107-7002
Phone Number
505-266-5565
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N Renaissance Blvd Ne Ste C
City
State
Zip
87107-7002
Phone Number
505-266-5565
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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