MRS. CHRISTAL ALANTHA WALLER APN NPI 1194974188

NPI Information

NPI: 1194974188
Provider Name: MRS. CHRISTAL ALANTHA WALLER, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
125 BAPTIST WAY STE 4C
PENSACOLA, FL
ZIP 32503
Phone: (448) 227-6450
Get Directions

MRS. Christal Alantha Waller, APN is a family nurse practitioner in Pensacola, FL with 9 years of experience. MRS. Christal Alantha Waller, APN NPI is 1194974188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 BAPTIST WAY STE 4C
PENSACOLA, FL
ZIP 32503-274
Phone: (448) 227-6450
Fax: (448) 227-9770

The NPI 1194974188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN11026008	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A03113	OTHER	ARKANSAS	ARKANSAS STATE BOARD OF NURSING
2	AP09037	OTHER	LOUISIANA	ADVANCED PRACTICE REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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