Waller, Spencer

Waller, Spencer is an sole proprietor health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2781. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Waller, Spencer can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2781
Phone: (719) 584-4306
Fax: (719) 595-7886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ANP.0993430-NP Colorado

Profile Details

NPI number 1033629241
LBN Legal business name Waller, Spencer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2017
Last updated Mar 29th, 2018 - about 8 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.

Request for update

Popular Providers