Dr MARY B WALLER CNA is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 1997.
AMS BAPTIST LLC
1110 GULF BREEZE PKWY
GULF BREEZE
FL
325614484
Tel: 8509342000
| Npi | 1356329973 |
| Pac Id | 8325024524 |
| Professional Enrollment Id | I20040628001240 |
| Last Name | WALLER |
| First Name | MARY |
| Middle Name | B |
| Suffix | |
| Gender | F |
| Credential | CNA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | AMS BAPTIST LLC |
| Group Practice Pac Id | 6901099688 |
| Number Of Group Practice Members | 57 |
| Line 1 Street Address | 1110 GULF BREEZE PKWY |
| Line 2 Street Address | |
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| City | GULF BREEZE |
| State | FL |
| Zip Code | 325614484 |
| Phone Number | 8509342000 |
| Hospital Affiliation Ccn 1 | 100093 |
| Hospital Affiliation Lbn 1 | BAPTIST HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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