Brent Steven Waller, FNP-BC is a family nurse practitioner in Anaheim, CA with 5 years of experience. Brent Steven Waller, FNP-BC NPI is 1356973432. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3400 W BALL RD STE 207
ANAHEIM, CA
ZIP 92804-737
Phone: (714) 683-5100
The NPI 1356973432 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 2/6/2020 and was last updated on 2/7/2020.