AMELIA B WALLER ARNP
NPI 1013971324
Nurse Practitioner in Ft Lauderdale, FL

Q: What is Amelia Waller's NPI number?

The NPI number for Amelia Waller is 1013971324. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Amelia Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Waller was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2006

1625 SE 3RD AVE # 601, FT LAUDERDALE, FL 33316(954) 712-1115(954) 462-5413 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amelia B Waller Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA B WALLER ARNP (NPI 1013971324) is an individual nurse practitioner in Ft Lauderdale, Florida, licensed in Florida (ARNP2173192) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1013971324

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMELIA B WALLERCredential: ARNP

Location Address1625 SE 3RD AVE # 601Ft Lauderdale, FL 33316-2521

Mailing Address1625 Se 3rd Ave # 601Ft Lauderdale, FL 33316-2521 · (954) 712-1115 · Fax (954) 462-5413

Phone(954) 712-1115

Fax(954) 462-5413

Sole ProprietorNo

Enumeration DateApril 13, 2006

Last NPPES UpdateJanuary 2, 2008

✔ NPI 1013971324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP2173192

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1625 SE 3RD AVE # 601, Ft Lauderdale, FL 33316

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Other Identifiers 2

Medicare UPINP05269FL

Medicare ID-Type UnspecifiedE4027VFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelia Waller's NPI number?

The NPI number for Amelia Waller is 1013971324. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Amelia Waller located?

Amelia Waller practices at 1625 SE 3rd Ave # 601, Ft Lauderdale, FL 33316. The listed phone number is (954) 712-1115.

What is Amelia Waller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Amelia Waller was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.