Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
URSULA F WALLER
ActiveURSULA F WALLER is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BUCKHEAD, Georgia. NPI 1679986988 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · BUCKHEAD, GA
Registration Details
- NPI Number
- 1679986988
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2014 (12.180798668609 yrs)
- Last Updated
- May 27, 2016
- Licenses
-
1540540 (GA)9299664 (FL)COA.17161-NA (OH)
Practice Information
- Address
-
128 MARSHALL RDBUCKHEAD, GA, 306252906Browse GA providers · Browse ZIP 30625
- Phone
- 7064736192
- Fax
- 7064859254
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
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.