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

MRS. NANCY WALLER, PA

Active Sole Proprietor

MRS. NANCY WALLER, PA is a Medical Physician Assistant healthcare provider located in PUEBLO, Colorado. NPI 1093982647 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PUEBLO, CO

Registration Details

NPI Number
1093982647
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2008 (18.270690203024 yrs)
Last Updated
May 13, 2008
License
120 (CO)
Sole Proprietor
Yes

Practice Information

Address
1339 S PUEBLO BLVD
PUEBLO, CO, 810051508
Browse CO providers · Browse ZIP 81005
Phone
7196475831
Fax
7196475833
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PUEBLO, CO

Name Credential NPI
MR. JAMES L KRAMER PA C 1427046077
DOLINDA H. M. GIBSON PA 1467461467
ALAN GENE WALKER PA C 1982707964
MICHAEL S WALSH PA-C 1164584686
MR. DYLAN B DEVRIES PA 1770760365
MARC A WILLIAMS PA 1659542926
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.