IndividualActive
Erik Waller
NPI 1699147033 · Administrator Registered Nurse · Hattiesburg, MS
Provider details
- NPI number
- 1699147033
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R895622 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
231 Methodist Blvd
Hattiesburg, MS 39402-1297
Phone: (601) 296-3530
Approximate (ZIP-level) locationGet directions
Mailing address
231 Methodist Blvd
Hattiesburg, MS 39402-1297
Registry dates
- Enumerated
- 2015-10-26
- Last updated
- 2015-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.