Waller, Amelia B

Waller, Amelia B is an individual health care provider with primary practice located at 1625 Se 3Rd Ave # 601 , Ft Lauderdale FL 33316-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waller, Amelia B can be contacted via phone (954) 712-1115.

Contact Information

Primary practice address

1625 Se 3Rd Ave # 601 Ft Lauderdale FL 33316-2521

Phone: (954) 712-1115

Fax: (954) 462-5413

Website:

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Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner	363L00000X	ARNP2173192	Florida

Profile Details

NPI number	1013971324
LBN Legal business name	Waller, Amelia B
Credentials	ARNP
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 13th, 2006
Last updated	Jan 2nd, 2008 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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