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Katherine Ciminelli Waller

Nurse Practitioner - Pediatrics

4855 S Moorland Rd Fl 3
New Berlin , Wisconsin 53151-7494

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Katherine Ciminelli Waller

Nurse Practitioner - Pediatrics

4855 S Moorland Rd Fl 3
New Berlin , Wisconsin 53151-7494

(414) 266-6238

Write a Review Save Call

Katherine Ciminelli Waller

Nurse Practitioner - Pediatrics

4855 S Moorland Rd Fl 3
New Berlin , Wisconsin 53151-7494

(414) 266-6238 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Pediatrics

Languages spoken

  • English

Location

4855 S Moorland Rd Fl 3 New Berlin , Wisconsin 53151-7494

First Address

  • Katherine Ciminelli Waller
  • 9000 W Wisconsin Ave # Ms 958
  • Milwaukee, WI
  • Zip : 53226-4874
  • Fax : (414) 266-6238
  • Phone :

Second Address

  • Katherine Ciminelli Waller
  • 4855 S Moorland Rd Fl 3
  • New Berlin, WI
  • Zip : 53151-7494
  • Fax : (262) 432-7694
  • Phone : (262) 432-7599

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FAQs


Where did Katherine Ciminelli Waller attend graduate school?

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Where did Katherine Ciminelli Waller do her residency?

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Where did Katherine Ciminelli Waller do her fellowship?

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Is Katherine Ciminelli Waller board certified?

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What type of doctor is Katherine Ciminelli Waller

Nurse Practitioner - Pediatrics

In what state does Katherine Ciminelli Waller practice in?

Wisconsin

Where is Katherine Ciminelli Waller ’s practice located?

4855 S Moorland Rd Fl 3 , New Berlin, Wisconsin, 53151-7494

What is Katherine Ciminelli Waller ’s gender?

Female

Is Katherine Ciminelli Waller a sole practitioner?

No

Is Katherine Ciminelli Waller accepting new patients?

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What languages does Katherine Ciminelli Waller speak?

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Does Katherine Ciminelli Waller accept insurance?

Yes, Katherine Ciminelli Waller accepts insurance

Does Katherine Ciminelli Waller offers telemedicine?

Katherine Ciminelli Waller has not indicated if she offers telemedicine

What is Katherine Ciminelli Waller ’s professional license number?

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What is Katherine Ciminelli Waller ’s NPI number?

1013525096

Does Katherine Ciminelli Waller have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP0200X Nurse Practitioner - Pediatrics 10304 WI
N 363LP0200X Nurse Practitioner - Pediatrics PENDING WI

National Provider Identifier

NPI 1013525096
Provider Name Katherine Ciminelli Waller
First Address Milwaukee, WI 53226-4874
Second Address New Berlin, WI 53151-7494
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/07/2020
Last Update Date 01/09/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1013525096 (05) WI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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