Waller, Gail

Waller, Gail is an individual health care provider with primary practice located at 3820A Bridges Street , Morehead City NC 28557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waller, Gail can be contacted via phone (252) 728-8550.

Contact Information

Primary practice address
3820A Bridges Street Morehead City NC 28557
Phone: (252) 728-8550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200022 North Carolina

Profile Details

NPI number 1427171685
LBN Legal business name Waller, Gail
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427171685 NPPES
North Carolina Other 200222 NC FNP LICENSE NUMBER

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