Individual
CHELSEA LYN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 SW 15TH ST, LINCOLN, NE 68522-1507
(402) 450-3354
Mailing address
1630 SW 15TH ST, LINCOLN, NE 68522-1507
(402) 450-3354
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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