Individual
SHEILA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9114 PHILADELPHIA RD STE 108, BALTIMORE, MD 21237-4346
(410) 248-6300
(410) 686-4973
Mailing address
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 638-0408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R175178
MD
363LF0000X
Family Nurse Practitioner
Primary
R175178
MD
Other
Enumeration date
04/06/2009
Last updated
01/03/2024
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