IndividualActive
Amanda Waller, DO
NPI 1346743127 · Family Medicine Physician · Agana Heights, GU
Provider details
- NPI number
- 1346743127
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 0102205760 (VA)
Practice location
US Naval Hospital Guam
Farenholt Ave, Bldg 50
Agana Heights, GU 96910
Phone: (671) 344-9222
Mailing address
200 Mercy Circle
Camp Pendleton, CA 92055
Registry dates
- Enumerated
- 2018-03-17
- Last updated
- 2024-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.