Waller, Emily Marie

Waller, Emily Marie is an individual health care provider with primary practice located at 390 S Main St Suite 201, Rocky Mount VA 24151-1766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Waller, Emily Marie can be contacted via phone (540) 484-4800.

Contact Information

Primary practice address
390 S Main St Suite 201 Rocky Mount VA 24151-1766
Phone: (540) 484-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003904 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0004578 Maryland

Profile Details

NPI number 1679857254
LBN Legal business name Waller, Emily Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Aug 11th, 2022 - about 4 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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