BRENDA DIANE WALLER

KAYENTA, AZ
NPI1104233949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TN  RN0000037956)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AK  NURR34341)
163WE0003X Registered Nurse, Emergency
(Licence: TN  37956)
163WE0003X Registered Nurse, Emergency
(Licence: AK  NURR34341)
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- BRENDA DIANE WALLER RN
HWY 160/163 BUILDING KA 2010
KAYENTA, AZ 86033-0368
Phone number: 928-697-4100
Mailing Address
-- BRENDA DIANE WALLER RN
280 VALLEY ST
SPARTA, TN 38583-3210
Phone number: 423-322-0166