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

Raquel Simone Waller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740973148

Raquel Simone Waller is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2023.

Licensed in
AL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1919 7th Ave S
Birmingham, AL 35233-2005
Phone: (205) 934-3387
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7506 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740973148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address1919 7th Ave S, Birmingham, AL 35233-2005

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