Individual provider · Type 1 NPI

Zachary Waller

Licensed Practical Nurse · Dayton, OH

NPI number 1215463138 Active

Practice location

1435 Cincinnati St, Ste 100
Dayton, OH 45417-4614

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.141993.M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1215463138

Zachary Waller's National Provider Identifier is 1215463138, issued on May 11, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dayton, OH. The record was last updated on May 11, 2017.