Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary A Waller, LPN

Individual provider Licensed Practical Nurse · NPI 1235518572

Gary A Waller, LPN is a Licensed Practical Nurse in Mayfield Hts, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

6503 Marsol Rd Apt 347
Mayfield Hts, OH 44124-3568
Phone: (216) 816-6160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN.154227-M-IV (OH)

Record details

NPI number1235518572
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 20, 2015
Last updated in NPPESMay 20, 2015

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