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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427171685 | NPPES |
| North Carolina | Other | 200222 | NC FNP LICENSE NUMBER |
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