NPI 1043832736

Sanettra Mae Waller

Practitioner Licensed Vocational Nurse Rockville, MD

Practice location

Address: 2 Taft CT STE 200, Rockville, MD 20850-1390
Phone: (240) 614-4241

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence LP95133 (MD)

Other Licensed Vocational Nurse providers in Maryland →

Registry record

NPI: 1043832736
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2020
Record last updated: 15 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.