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

Nancy Waller, MD

Individual provider Pediatrics Physician · NPI 1508833419

Nancy Waller, MD is a Pediatrics Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 25th Ave S #306
Minneapolis, MN 55454-1513
Phone: (612) 672-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 41111 (MN)

Record details

NPI number1508833419
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESMay 15, 2008
Mailing address701 25th Ave S Ste 306, Minneapolis, MN 55454-1443

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