CRYSTAL WALLER NPI 1417365347

NPI Information

CRYSTAL WALLER is a nursing care in Cleveland, OH. The provider is 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. CRYSTAL WALLER NPI is 1417365347. The provider is registered as an organization entity type.

The provider's business location address is:

3040 CHARLES CARR PL
CLEVELAND, OH
ZIP 44104-106
Phone: (216) 609-9421

The provider's authorized official is Crystal Michelle Waller .
The authorized official title is Lpn and has the following contact phone number (216) 609-9421.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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