Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waller Anesthesia Services LLC

Organization Certified Registered Nurse Anesthetist · NPI 1225929771

Waller Anesthesia Services LLC is a Certified Registered Nurse Anesthetist in Fond Du Lac, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 W Scott St
Fond Du Lac, WI 54935-2342
Phone: (708) 275-7914
Fax: (408) 698-8411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1225929771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Waller — Owner · (708) 275-7914
Other names The Body Emporium Aesthetics And Wellness
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025
Mailing address27 Whispering Springs Ct, Fond Du Lac, WI 54937-6912

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