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

ADAM WALLER, NP

Active Sole Proprietor

ADAM WALLER, NP is a Nurse Practitioner healthcare provider located in WEST FRANKFORT, Illinois. NPI 1508476615 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · WEST FRANKFORT, IL

Registration Details

NPI Number
1508476615
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2020 (5.9986622119267 yrs)
Last Updated
May 23, 2022
License
209021745 (IL)
Sole Proprietor
Yes

Practice Information

Address
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL, 628961968
Browse IL providers · Browse ZIP 62896
Phone
6189373400
Fax
6189979324
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in WEST FRANKFORT, IL

Name Credential NPI
MAX A BAIER NP 1972589919
TRAVIS MICHAEL SEDDON NP-C 1265103006
JANALYN ELWOOD NP 1346952728
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.