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

Mrs. Holli Dezaun Waller, DO

Individual provider Family Medicine Physician · NPI 1053622167

Mrs. Holli Dezaun Waller, DO is a Family Medicine Physician in Blacksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3700 S Main St
Blacksburg, VA 24060
Phone: (540) 953-5445
Fax: (540) 953-5453
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0116022785 (VA)

Record details

NPI number1053622167
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2010
Last updated in NPPESJune 24, 2010

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