Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKITA WALLER, CNIM
ActiveNIKITA WALLER, CNIM is a Electroneurodiagnostic Technologist healthcare provider located in STONECREST, Georgia. NPI 1669907507 is currently active in the NPPES registry. Verify at CMS.
Electroneurodiagnostic Technologist · STONECREST, GA
Registration Details
- NPI Number
- 1669907507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2017 (9.2538482928488 yrs)
- Last Updated
- Feb 13, 2021
Practice Information
- Address
-
3635 PEBBLE STSTONECREST, GA, 300383395Browse GA providers · Browse ZIP 30038
- Phone
- 9546684696
- Primary Specialty
-
Electroneurodiagnostic Technologist
246ZE0600X
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.