SANETTRA MAE WALLER (NPI# 1043832736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043832736 |
| Entity Type | Individual |
| Full Name | SANETTRA MAE WALLER |
| Practice Address |
2 Taft Ct Ste 200 Rockville MD 20850-1390 |
| Practice Telephone | 2406144241 |
| Mailing Telephone | 2406144241 |
| Mailing Fax Number | 8339030216 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | LP95133 | MD | Nursing Service Providers |
| Street Address |
2 TAFT CT STE 200 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467960435 | Laura Price | Registered Nurse | 2 Taft Ct Ste 200, Rockville, MD 20850-1390 | 2018-01-12 |
| 1376181750 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 2 Taft Ct Ste 200, Rockville, MD 20850-1390 | 2019-12-16 |
| 1750871257 | Brooke Irwin Senior | Social Worker | 2 Taft Ct Ste 200, Rockville, MD 20850-1390 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1154709418 | Awambeng Eric | Licensed Vocational Nurse | 5445 85th Ave Apt 102, Lanham, MD 20706 | 2015-05-07 |
| 1447655261 | Anne Chioma Emonina | Licensed Vocational Nurse | 11608 Stewart Ln Apt 303, Silver Spring, MD 20904-2453 | 2014-10-23 |
| 1437552379 | Meselech Tesfa | Licensed Vocational Nurse | 3323 Sir Thomas Dr, Apt 24, Silver Spring, MD 20904 | 2014-10-07 |
| 1245651751 | Quadri Lawal | Licensed Vocational Nurse | 14319 Dover Ct, Laurel, MD 20707-5847 | 2013-12-31 |
| 1881027472 | Doris Njomen | Licensed Vocational Nurse | 2400 Queens Chapel Rd Apt 404, Hyattsville, MD 20782-3637 | 2013-08-19 |
| 1750635017 | Madina Sangare | Licensed Vocational Nurse | 6475new Hampshire Ave Ste#504f, Hyattsville, MD 20783 | 2012-11-07 |
| 1336492123 | Harriet Oforiboakye | Licensed Vocational Nurse | 6475 New Hampshire Ave Ste 504f, Hyattsville, MD 20783-3277 | 2012-10-18 |
| 1679822126 | Zemed Zerihun Chekole | Licensed Vocational Nurse | 6475 New Hampshire Ave Ste 500a, Hyattsville, MD 20783-3295 | 2012-08-30 |
| 1083976997 | Birtukan Bizuayen Gebremariam | Licensed Vocational Nurse | 7005 22nd Ave, Hyattsville, MD 20783-2899 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SANETTRA MAE WALLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.