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

Tracey Ann Waller

Individual provider Registered Nurse · NPI 1346051539

Tracey Ann Waller is a Registered Nurse in Ogdensburg, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1003 Park St
Ogdensburg, NY 13669-3911
Phone: (518) 651-2302
Fax: (518) 713-9330
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 710254 (NY)

Record details

NPI number1346051539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address324 County Route 51 Bldg 1, Malone, NY 12953-4502

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