Waller Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

WALLER ANESTHESIA SERVICES LLC

Doing business as

The Body Emporium Aesthetics and Wellness

Practice address

55 W Scott St
Fond Du Lac, WI 54935-2342

Phone

(708) 275-7914

Fax

(408) 698-8411

NPI assigned

Jul 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christine Marie Waller, CRNA APNPNPI 1720063738

Title

Owner

Phone

(708) 275-7914

Specialties & licenses 1

Addresses

Other names 1

• The Body Emporium Aesthetics and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Waller, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • West Allis, WI
  • NPI 1720063738

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1225929771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WHISPERING SPRINGS CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549376912",
            "telephone_number": "708-275-7914",
            "fax_number": "408-698-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W SCOTT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352342",
            "telephone_number": "708-275-7914",
            "fax_number": "408-698-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLER ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-275-7914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA APNP"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Emporium Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Julie Walker, RPH
• Patricia A Walker, CST
• Jacob Robert Wallock, DDS
• Katherine Kristine Waltenberry
• Jeffrey L Walters, D.C.
• Hong Chu Wang, M.D.
• Margaret L Ward

• Certified Registered Nurse Anesthetist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.