Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TABITHA WALLER, FNP
ActiveTABITHA WALLER, FNP is a Family Nurse Practitioner healthcare provider located in ROSEBURG, Oregon. NPI 1619410982 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ROSEBURG, OR
Registration Details
- NPI Number
- 1619410982
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2016 (9.7193975531944 yrs)
- Last Updated
- Nov 18, 2016
- License
-
20160204NP-PP (OR)
Practice Information
- Address
-
1813 W HARVARD AVESUITE 241ROSEBURG, OR, 974712752Browse OR providers · Browse ZIP 97471
- Phone
- 5414406390
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| MR. WARREN THOMAS ROSELAND JR. | MSN, RN, FNP-C | 1831183326 |
| CANDACE MARIE HATTON | FNP | 1023081528 |
| KATHLEEN M WAYBRANT | FNP | 1942273008 |
| MS. SUSAN S STARKE | FNP | 1477583375 |
| MS. KELLY RENEE CONKLIN | DNP | 1609893395 |
| DEBRA J RAUMAKITA | APNP | 1336156967 |
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.