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

Corenna Louise Waller

Individual provider Specialist · NPI 1699079046

Corenna Louise Waller is a Specialist in Fresno, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

4411 E Kings Canyon Rd Bldg 319
Fresno, CA 93702-3604
Phone: (559) 453-6227
Fax: (559) 452-8901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1699079046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2010
Last updated in NPPESDecember 28, 2010
Mailing address4411 E Kings Canyon Rd, Bldg 319, Fresno, CA 93702-3604

Other providers in Fresno