Individual
MRS. CHRISTAL ALANTHA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6720 GRELOT RD STE D, MOBILE, AL 36695-2698
(251) 444-1999
(251) 444-1998
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-058493
AL
363LF0000X
Family Nurse Practitioner
APRN11026008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03113
ARKANSAS STATE BOARD OF NURSING
AR
01
—
AP09037
ADVANCED PRACTICE REGISTERED NURSE
LA
Enumeration date
09/15/2008
Last updated
07/16/2025
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