KATIE WALLER

WOODLAND, CA
NPI1972971018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95002750)
Enumeration Date2015-09-06
Last Update Date2018-06-28
Business Address
KATIE WALLER F.N.P.
1321 COTTONWOOD ST FL 3
WOODLAND, CA 95695
Phone number: 530-668-2600
Mailing Address
KATIE WALLER F.N.P.
3400 DATA DR ATTN: CREDENTIALING PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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