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

Brenda Diane Waller, RN

Individual provider Registered Nurse · NPI 1104233949

Brenda Diane Waller, RN is a Registered Nurse in Kayenta, Arizona. Licensed in Alaska and Tennessee. Registered with an NPI since 2014.

Licensed in
AK, TN
In the registry since
2014
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

Hwy 160/163 Bldg KA 2010
Kayenta, AZ 86033-0368
Phone: (928) 697-4100
Fax: (928) 697-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN0000037956 (TN)
Registered Nurse Taxonomy 163W00000X · Licence NURR34341 (AK)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 37956 (TN)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence NURR34341 (AK)

Record details

NPI number1104233949
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 14, 2014

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