Individual
MRS. GLENDA JOYCE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Mailing address
525 LILLY RD NE # 204, OLYMPIA, WA 98506-5101
(360) 493-4002
(360) 493-5524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60100021
WA
Other
Enumeration date
09/01/2009
Last updated
04/28/2021
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