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CORENNA LOUISE WALLER
NPI 1699079046
Specialist in Fresno, CA

Active since December 28, 2010
4411 E KINGS CANYON RD, BLDG 319, FRESNO, CA 93702(559) 453-6227(559) 452-8901 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corenna Louise Waller NPPES

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

CORENNA LOUISE WALLER (NPI 1699079046) is an individual specialist in Fresno, California and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1699079046
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCORENNA LOUISE WALLER
Location Address4411 E KINGS CANYON RD, BLDG 319Fresno, CA 93702-3604
Mailing Address4411 E Kings Canyon Rd, Bldg 319Fresno, CA 93702-3604 · (559) 453-6227 · Fax (559) 452-8901
Phone(559) 453-6227
Fax(559) 452-8901
Sole ProprietorNo
Enumeration DateDecember 28, 2010
✔ NPI 1699079046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4411 E KINGS CANYON RD, Fresno, CA 93702
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Other Providers at the Same Location NPPES 20

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

MRS. ESTHER I AKANDE LVN
Licensed Vocational Nurse
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 325-6144
MAYRA ANDREA ROSEL-BUCIO
Marriage & Family Therapist
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 623-0900
MS. SANDRA KAY MORENO R.N.
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
SINCERAE CAMERON RN
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
SHELA YANG
Licensed Vocational Nurse
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
NADA MOUA
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
ARLENE PUTNAM
Nurse Practitioner (Family)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008
AMANDA YVETTE COLUNGA
Registered Nurse (Psychiatric/Mental Health)
4411 E KINGS CANYON RD
FRESNO, CA 93702
Fresno County (559) 453-1008

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 Corenna Waller's NPI number?

The NPI number for Corenna Waller is 1699079046. It was assigned to this individual provider in the NPPES registry on December 28, 2010.

Where is Corenna Waller located?

Corenna Waller practices at 4411 E Kings Canyon Rd Bldg 319, Fresno, CA 93702. The listed phone number is (559) 453-6227.

What is Corenna Waller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Corenna Waller was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.