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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SPENCER WALLER, FNP

Active Sole Proprietor

MR. SPENCER WALLER, FNP is a Nurse Practitioner healthcare provider located in PUEBLO, Colorado. NPI 1033629241 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PUEBLO, CO

Registration Details

NPI Number
1033629241
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2017 (8.9037847634346 yrs)
Last Updated
Mar 29, 2018
License
ANP.0993430-NP (CO)
Sole Proprietor
Yes

Practice Information

Address
400 W 16TH ST
PUEBLO, CO, 810032781
Browse CO providers · Browse ZIP 81003
Phone
7195844306
Fax
7195957886
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PUEBLO, CO

Name Credential NPI
MRS. VICKY J HIGGINS FNPC 1316942881
BETTY ANNE ESQUIBEL NP 1649260340
MRS. LUCINDA DIANE STEGMAN FNP-ACNP 1265403901
MRS. KAREN RAE DAVIS FNP 1326011768
MRS. CARLOTTA J FENDRICH NP 1427015767
LYNNE M EVETTS NP 1023054541
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.