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

Brooke L Waller

Individual provider Registered Nurse · NPI 1861082224

Brooke L Waller is a Registered Nurse in Vineland, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

3592 N Delsea Dr Unit 16
Vineland, NJ 08360-1657
Phone: (856) 558-1677
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 26NR19109300 (NJ)

Record details

NPI number1861082224
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address3592 N Delsea Dr Unit 16, Vineland, NJ 08360-1657

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