Individual
MS. FAY MARSHELLE WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5425 ROSSLYN AVE, INDIANAPOLIS, IN 46220-3323
(615) 274-9767
(833) 450-4801
Mailing address
9019 OVERLOOK BLVD STE C1, BRENTWOOD, TN 37027-2736
(615) 274-9767
(833) 450-4801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016908A
IN
Other
Enumeration date
06/28/2025
Last updated
03/02/2026
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