Individual provider · Type 1 NPI

Crystal Michelle Waller, LPN

Licensed Practical Nurse · Cleveland, OH

NPI number 1619273158 Active

Practice location

8014 Cory Ave
Cleveland, OH 44103-3436

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.141935 (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 1619273158

Crystal Michelle Waller, LPN's National Provider Identifier is 1619273158, issued on Feb 1, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Feb 1, 2011.