Search › Virginia › 1041C0700X
Tara Waller
NPI 1467208918 · on the registry since 2024
Practice
- Address
- 1454 Mexico Way Ne
Roanoke, VA 24012 - Phone
- (434) 533-1088
- Fax
- (434) 664-1177
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-25
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 Virginia