Individual
MRS. HALEY L WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
Mailing address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
262574
TN
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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