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
Mailing address6503 Marsol Rd, Apt 347, Mayfield Heights, OH 44124-3568

Other providers in Mayfield Hts