Nicole Waller

NPI 1710845060 · on the registry since 2026 · sole proprietor

Practice

Address: 1031 Office Park Rd Ste 6
West Des Moines, IA 50265
Phone: (515) 304-5475
Organisation at this address: Revitalize Llc
James A Coggi, Md, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-14

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 Iowa