Search › Oklahoma › 104100000X
Nanette Waller, LCSW, CCFC
NPI 1508880501 · on the registry since 2006
Practice
- Address
- 1011 Honor Heights Dr
Muskogee, OK 74401 - Phone
- (918) 683-3261
- Organisation at this address
- Eovacs
Muskogee Vamc
Muskogee Vamc
Johnson Associates Systems Inc.
Jack C. Montgomery Va Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 441
Additional practice sites
- 6351 W 22nd St N, Muskogee, OK
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-17
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 Oklahoma