Individual
MARGARITE I WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1655 CROOKED OAK DR, LANCASTER, PA 17601-4207
(717) 569-2678
Mailing address
1655 CROOKED OAK DR, LANCASTER, PA 17601-4207
(717) 569-2678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011048
PA
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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