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.
Provider's Profile
Full Name | Sanettra Mae Waller |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 2 Taft Ct Ste 200, Rockville, Maryland |
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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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