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Individual
ANSLEY WALLER
Active
Individual
ANSLEY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
1097452
TX
363L00000X
Nurse Practitioner
1097452
TX
Other
Enumeration date
09/01/2022
Last updated
01/11/2023
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