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

BRENDA DIANE WALLER, RN

Active

BRENDA DIANE WALLER, RN is a Registered Nurse healthcare provider located in KAYENTA, Arizona. NPI 1104233949 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · KAYENTA, AZ

Registration Details

NPI Number
1104233949
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2014 (12.083263125803 yrs)
Last Updated
Jul 14, 2014
Licenses
RN0000037956 (TN)
NURR34341 (AK)
37956 (TN)
NURR34341 (AK)

Practice Information

Address
HWY 160/163 BUILDING KA 2010
KAYENTA, AZ, 860330368
Browse AZ providers · Browse ZIP 86033
Phone
9286974100
Fax
9286974029
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse
Additional Specialty
Emergency Nurse
Additional Specialty
Emergency Nurse

Other Registered Nurse Providers in KAYENTA, AZ

Name Credential NPI
SUE FREEMAN RN 1114106762
RENEE FULLER R.N. 1992981542
MS. BETTY ANN BEGAY RN 1992945224
LORRAINE THOMAS RN 1710128509
RONALD J FREDERICK RN 1356582142
MRS. EILEEN AVIS RUSSELL RN 1376785659
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.