Christal Safford Waller
SWLA CENTER FOR HEALTH SERVICES


Address: 2000 Opelousas St, Lake Charles, LA 70601-2641
Phone: 3374399983

Christal Safford Waller (NPI# 1194974188, PAC ID# 1759557739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1194974188
PAC ID by PECOS 1759557739
Professional Enrollment ID I20161118000564
Full Name Christal Safford Waller
Organization Legal Name SWLA CENTER FOR HEALTH SERVICES
Address 2000 Opelousas St
Lake Charles
LA 70601-2641
Phone Number 3374399983
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9133029853
Number of Group Practice Members 20
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190060 LAKE CHARLES MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
2000 Opelousas St, Lake Charles, LA 70601-2641 3374399983 SWLA CENTER FOR HEALTH SERVICES
112 N 6th St, Oberlin, LA 70655-6109 3376392281 SWLA CENTER FOR HEALTH SERVICES

Organization Information

Organization Legal Name SWLA CENTER FOR HEALTH SERVICES
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Consuela M Colston Clinical Social Worker Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Colleen Hall Unkel Nurse Practitioner Swla Center for Health Services 112 N 6th St, Oberlin, LA 70655-6109
Danielle J Threatts Nurse Practitioner Swla Center for Health Services 500 Patterson St, Lafayette, LA 70501-1849
David P Kosnosky Internal Medicine Swla Center for Health Services 500 Patterson St, Lafayette, LA 70501-1849
Nicole M John Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Lisa A Vaughn Osteopathic Manipulative Medicine Swla Center for Health Services 500 Patterson St, Lafayette, LA 70501-1849
Theresa M Ivey Clinical Social Worker Swla Center for Health Services 500 Patterson St, Lafayette, LA 70501-1849
Candace L. Douglas Obstetrics/gynecology Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Crystal S. Fontenot Nurse Practitioner Swla Center for Health Services 500 Patterson St, Lafayette, LA 70501-1849
Kimngan Tran Obstetrics/gynecology Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641

Office Location

Street Address 2000 OPELOUSAS ST
City LAKE CHARLES
State LA
Zip 70601-2641

Physicians in the same location

Name Specialty Organization Address
Consuela M Colston Clinical Social Worker Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Nicole M John Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Candace L. Douglas Obstetrics/gynecology Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Kimngan Tran Obstetrics/gynecology Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Latasha M Grice Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Lillian L Browning Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Christopher M Arceneaux Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Louella M Jackson Nurse Practitioner Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Dennis W Fletcher Family Medicine Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Danielle Lavonne Mclurkin Family Medicine Swla Center for Health Services 2000 Opelousas St, Lake Charles, LA 70601-2641
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Nauman Qureshi Internal Medicine 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601
Peter W Karam Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Amanda V Burnett Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Jennifer Taylor Graham Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Susan B Bourgeois Ieyoub Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Haley Angelle Landry Nurse Practitioner Lcms Pulmonary Associates of Southwest Louisiana 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Karie Joy Savoy Nurse Practitioner Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Ronald M Lewis Jr. Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Brian D Clements Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Cristian Romero Internal Medicine Swlhs Inc. 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404
Find all physicians in zip 70601

Competitor

Search similar physicians

City LAKE CHARLES
Zip Code 70601
Specialty NURSE PRACTITIONER
City + Specialty LAKE CHARLES + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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