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

Nikita Waller, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1669907507

Nikita Waller, CNIM is an Electroneurodiagnostic Specialist/Technologist in Stonecrest, Georgia. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

3635 Pebble St
Stonecrest, GA 30038-3395
Phone: (954) 668-4696
Show map & directions

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

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1669907507
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNIM
Sole proprietorNo
NPI enumeratedApril 28, 2017
Last updated in NPPESFebruary 13, 2021
Certification dateFebruary 13, 2021