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SANETTRA MAE WALLER
NPI 1043832736
Licensed Vocational Nurse in Rockville, MD

Active since May 15, 2020
2 TAFT CT STE 200, ROCKVILLE, MD 20850(240) 614-4241 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanettra Mae Waller NPPES

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

SANETTRA MAE WALLER (NPI 1043832736) is an individual licensed vocational nurse in Rockville, Maryland, licensed in Maryland (LP95133) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1043832736
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameSANETTRA MAE WALLER
Location Address2 TAFT CT STE 200Rockville, MD 20850-1390
Mailing Address2 Taft Ct Ste 200Rockville, MD 20850-1390 · (240) 614-4241 · Fax (833) 903-0216
Phone(240) 614-4241
Sole ProprietorYes
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1043832736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in MD · LP95133
Definition
A licensed vocational nurse 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.
2 TAFT CT STE 200, Rockville, MD 20850
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNERSTONE MONTGOMERY, INC.
Community/Behavioral Health
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 493-4200
MS. CRYSTAL LYNN BAILEY LGPC
Counselor (Mental Health)
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 525-1274
KIMBERLY KAMARA LPN
Licensed Vocational Nurse
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (240) 614-4253
LAURA PRICE RN
Registered Nurse
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (240) 855-3061
TIFFANY ADEYEMO CRNP
Nurse Practitioner (Psychiatric/Mental Health)
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 715-3673
TOVA LIOR LEVY LMSW
Social Worker
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 715-3673
MS. BROOKE IRWIN SENIOR LGSW
Social Worker
2 TAFT CT STE 200
ROCKVILLE, MD 20850
Montgomery County (301) 715-3673

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 Sanettra Waller's NPI number?

The NPI number for Sanettra Waller is 1043832736. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Sanettra Waller located?

Sanettra Waller practices at 2 Taft Ct Ste 200, Rockville, MD 20850. The listed phone number is (240) 614-4241.

What is Sanettra Waller's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Sanettra Waller was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.