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CRYSTAL WALLER
NPI 1417365347
Nursing Care in Cleveland, OH

Active since July 23, 2014
3040 CHARLES CARR PL, CLEVELAND, OH 44104(216) 609-9421 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Waller NPPES

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

CRYSTAL WALLER (NPI 1417365347) is a healthcare organization registered as a nursing care in Cleveland, Ohio and active in the NPI registry since July 2014. The organization lists Crystal Michelle Waller, Lpn, as its authorized official.

NPPES Registry Identity

NPI1417365347
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameCRYSTAL WALLER
Location Address3040 CHARLES CARR PLCleveland, OH 44104-4106
Mailing Address3040 Charles Carr PlCleveland, OH 44104-4106 · (216) 609-9421
Phone(216) 609-9421
Organization SubpartNo
Authorized OfficialCrystal Michelle WallerLpn · (216) 609-9421
Enumeration DateJuly 23, 2014
✔ NPI 1417365347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in OH · PN141935
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
3040 CHARLES CARR PL, Cleveland, OH 44104
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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 Crystal Waller's NPI number?

The NPI number for Crystal Waller is 1417365347. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Crystal Waller located?

Crystal Waller is located at 3040 Charles Carr Pl, Cleveland, OH 44104. The listed phone number is (216) 609-9421.

What is Crystal Waller's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Crystal Waller was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.