GARY A WALLER LPN
NPI 1235518572
Licensed Practical Nurse in Mayfield Hts, OH

Q: What is Gary Waller's NPI number?

The NPI number for Gary Waller is 1235518572. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Q: What is Gary Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Waller was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2015

6503 MARSOL RD, APT 347, MAYFIELD HTS, OH 44124(216) 816-6160 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary A Waller Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY A WALLER LPN (NPI 1235518572) is an individual licensed practical nurse in Mayfield Hts, Ohio, licensed in Ohio (PN.154227-M-IV) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1235518572

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameGARY A WALLERCredential: LPN

Location Address6503 MARSOL RD, APT 347Mayfield Hts, OH 44124-3568

Mailing Address6503 Marsol Rd, Apt 347Mayfield Heights, OH 44124-3568 · (216) 373-1459

Phone(216) 816-6160

Sole ProprietorYes

Enumeration DateMay 20, 2015

✔ NPI 1235518572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN.154227-M-IV

Definition

A licensed practical nurse 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.

6503 MARSOL RD, Mayfield Hts, OH 44124

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRUNETTE MOORE

Driver

6503 MARSOL RD, SUITE 306
MAYFIELD HEIGHTS, OH 44124

Cuyahoga County (216) 513-3801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Waller's NPI number?

The NPI number for Gary Waller is 1235518572. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Gary Waller located?

Gary Waller practices at 6503 Marsol Rd Apt 347, Mayfield Hts, OH 44124. The listed phone number is (216) 816-6160.

What is Gary Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gary Waller was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.