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

Thomasena Sarahdetta Waller, RN

Individual provider Registered Nurse · NPI 1679909659

Thomasena Sarahdetta Waller, RN is a Registered Nurse in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-7000
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 00049712 (SC)

Record details

NPI number1679909659
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 23, 2013
Last updated in NPPESSeptember 23, 2013

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