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

SANETTRA MAE WALLER

Active Sole Proprietor

SANETTRA MAE WALLER is a Licensed Vocational Nurse healthcare provider located in ROCKVILLE, Maryland. NPI 1043832736 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · ROCKVILLE, MD

Registration Details

NPI Number
1043832736
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2020 (6.2429229883137 yrs)
Last Updated
May 15, 2020
License
LP95133 (MD)
Sole Proprietor
Yes

Practice Information

Address
2 TAFT CT STE 200
ROCKVILLE, MD, 208501390
Browse MD providers · Browse ZIP 20850
Phone
2406144241
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in ROCKVILLE, MD

Name Credential NPI
KIMBERLY KAMARA LPN 1427862788
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.