Individual provider · Type 1 NPI

Ann Cook Van de Walle, M.ED.

Student in an Organized Health Care Education/Training Program · Independence, OH

NPI number 1104558386 Active

Practice location

5905 Brecksville Rd
Independence, OH 44131-1517

Call (216) 524-4673 Map

Mailing address

3063 Forest Dr
Cleveland, OH 44124-5125

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104558386

Ann Cook Van de Walle, M.ED.'s National Provider Identifier is 1104558386, issued on Jun 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Independence, OH. The record was last updated on Jun 27, 2022.