Individual
TONI SHEREE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
118 N. WHITCOMB AVE, TONASKET, WA 98855-9885
(509) 486-3191
(509) 486-4204
Mailing address
118 N. WHITCOMB AVE, TONASKET, WA 98855-7810
(509) 486-3191
(509) 486-3119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61015469
WA
363LF0000X
Family Nurse Practitioner
AP61015469
WA
Other
Enumeration date
12/03/2019
Last updated
07/25/2022
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