Individual
MRS. CAROLINE SIFFORD WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
911 W HENDERSON ST STE 120, SALISBURY, NC 28144
(704) 638-0336
(704) 638-0374
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010605
NC
Other
Enumeration date
06/14/2018
Last updated
08/20/2021
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