Individual
MRS. TIFFANY BETTS WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2200 LAKESHORE DR, SUITE 150, BIRMINGHAM, AL 35209-8803
(205) 871-6926
(205) 871-7981
Mailing address
2200 LAKESHORE DR, SUITE 150, BIRMINGHAM, AL 35209-8803
(205) 871-6926
(205) 871-7981
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-137729
AL
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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