| Brenda Diane Waller, RN | |
|
Hwy 160/163 Building Ka 2010, Kayenta, AZ 86033-0368 | |
| (928) 697-4100 | |
| (928) 697-4029 |
| Full Name | Brenda Diane Waller |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | Hwy 160/163 Building Ka 2010, Kayenta, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104233949 | NPI | - | NPPES |
| 060012 | Medicaid | AZ |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Diane Waller, RN 280 Valley St, Sparta, TN 38583-3210 Ph: (423) 322-0166 | Brenda Diane Waller, RN Hwy 160/163 Building Ka 2010, Kayenta, AZ 86033-0368 Ph: (928) 697-4100 |
Mr. Melvin Keith Swindell, RN CEN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Hwy 160/163 Bldg Ka-2010, Kayenta, AZ 86033 Phone: 928-697-4167 Fax: 928-697-4167 | |
Mark Mcgowan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Hwy 160/163 Bldg Ka2010, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Carol Lynn Kaskie, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Highway 160, Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Lorraine Barton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2010 Hwy 163, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Jeff Craig, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Hwy 160 Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4100 Fax: 928-697-4029 | |
Crystal Yazzie, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Highway 160 And Mile Post 394.3, Kayenta, AZ 86033 Phone: 928-679-4000 | |
Debralee Denise Johnson, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: Hwy 160, S M.p. 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 |