Dr ANGELA O WALLER NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2005.
300 HIGHLAND BLVD B
NATCHEZ
MS
391204600
Tel:
| Npi | 1194774190 |
| Pac Id | 6406868892 |
| Professional Enrollment Id | I20091012000134 |
| Last Name | WALLER |
| First Name | ANGELA |
| Middle Name | O |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 300 HIGHLAND BLVD B |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NATCHEZ |
| State | MS |
| Zip Code | 391204600 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 250084 |
| Hospital Affiliation Lbn 1 | MERIT HEALTH NATCHEZ |
| Hospital Affiliation Ccn 2 | 250001 |
| Hospital Affiliation Lbn 2 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Hospital Affiliation Ccn 3 | 191318 |
| Hospital Affiliation Lbn 3 | RIVERLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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