Individual
MICHELLE S. WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
4955 S DURANGO DR STE 164, LAS VEGAS, NV 89113-0154
(347) 449-2175
Mailing address
4955 S DURANGO DR STE 164, LAS VEGAS, NV 89113-0154
(702) 664-9520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
812118
NV
Other
Enumeration date
10/08/2018
Last updated
07/24/2026
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