Spencer Waller, FNP

NPI 1033629241 · on the registry since 2017 · sole proprietor

Practice

Address: 400 W 16th St
Pueblo, CO 81003
Phone: (719) 584-4306
Fax: (719) 595-7886
Organisation at this address: Dexter D Koons Md Pc
Center At Parkview, Llc
Parkview Medical Center
Pueblo Pathology Group, Pc
Parkview Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 228

Additional practice sites

1619 N Greenwood St Ste 309, Pueblo, CO

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado