Dr CHRISTAL SAFFORD WALLER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
SWLA CENTER FOR HEALTH SERVICES
2000 OPELOUSAS ST
LAKE CHARLES
LA
706012641
Tel: 3374399983
| Npi | 1194974188 |
| Pac Id | 1759557739 |
| Professional Enrollment Id | I20161118000564 |
| Last Name | WALLER |
| First Name | CHRISTAL |
| Middle Name | SAFFORD |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SWLA CENTER FOR HEALTH SERVICES |
| Group Practice Pac Id | 9133029853 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 2000 OPELOUSAS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706012641 |
| Phone Number | 3374399983 |
| Hospital Affiliation Ccn 1 | 190106 |
| Hospital Affiliation Lbn 1 | OAKDALE COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 190133 |
| Hospital Affiliation Lbn 2 | ALLEN PARISH HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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