Individual
KIMBERLY WALLERIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
721 MIAMI CHAPEL RD, DAYTON, OH 45417-4650
(937) 281-6800
Mailing address
721 MIAMI CHAPEL RD, DAYTON, OH 45417-4650
(937) 281-6800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.380581
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0040895
OH
Other
Enumeration date
05/30/2014
Last updated
02/02/2026
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