IndividualActive
Brenda Waller, RN
NPI 1104233949 · Registered Nurse · Kayenta, AZ
Provider details
- NPI number
- 1104233949
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN0000037956 (TN)
Practice location
Hwy 160/163 Building Ka 2010
Kayenta, AZ 86033-0368
Phone: (928) 697-4100
Fax: (928) 697-4029
Mailing address
280 Valley St
Sparta, TN 38583-3210
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.