Carly Lynne Waller, CNM is a
Advanced Practice Midwife based in Concord, North Carolina. Carly Lynne Waller is licensed to practice in North Carolina (license number CNM699) and her current practice location is
9955 Poplar Tent Rd, Concord, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 316-4828.
NPI number for Carly Lynne Waller is 1649765389 and her current mailing address is Po Box 60447, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649765389.
Provider's Profile
| Full Name | Carly Lynne Waller |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 9955 Poplar Tent Rd, Concord, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649765389
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 06/30/2022
Medical Identifiers
Medical identifiers for Carly Lynne Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649765389 | NPI | - | NPPES |
| CNM04927 | Other | NC | MIDWIFERY JOINT COMMITTEE OF THE STATE OF NORTH CAROLINA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | CNM699 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Lynne Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Carly Lynne Waller, CNM Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Carly Lynne Waller, CNM 9955 Poplar Tent Rd, Concord, NC 28027-9314 Ph: (704) 316-4828 |
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