Individual
AMELIA B WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1625 SE 3RD AVE # 601, FT LAUDERDALE, FL 33316-2521
(954) 712-1115
(954) 462-5413
Mailing address
1625 SE 3RD AVE # 601, FT LAUDERDALE, FL 33316-2521
(954) 712-1115
(954) 462-5413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2173192
FL
Other
Enumeration date
04/13/2006
Last updated
01/02/2008
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