Sanettra Mae Waller, in Rockville, MD - Licensed Vocational Nurse

Sanettra Mae Waller, is a Licensed Vocational Nurse based in Rockville, Maryland. Sanettra Mae Waller is licensed to practice in Maryland (license number LP95133) and her current practice location is 2 Taft Ct Ste 200, Rockville, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 614-4241.

NPI number for Sanettra Mae Waller is 1043832736 and her current mailing address is 2 Taft Ct Ste 200, Rockville, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043832736.

Contact Information

	Sanettra Mae Waller,
	2 Taft Ct Ste 200, Rockville, MD 20850-1390
	(240) 614-4241
	Not Available

Provider's Profile

Full Name	Sanettra Mae Waller
Gender	Female
Speciality	Licensed Vocational Nurse
Location	2 Taft Ct Ste 200, Rockville, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043832736
Provider Enumeration Date: 05/15/2020
Last Update Date: 05/15/2020

Medical Identifiers

Medical identifiers for Sanettra Mae Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043832736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	LP95133 (Maryland)	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. Sanettra Mae 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
Sanettra Mae Waller, 2 Taft Ct Ste 200, Rockville, MD 20850-1390 Ph: (240) 614-4241	Sanettra Mae Waller, 2 Taft Ct Ste 200, Rockville, MD 20850-1390 Ph: (240) 614-4241

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Sanettra Mae Waller, - Licensed Vocational Nurse in Rockville, MD