Individual
DANIEL WADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1716
(216) 444-2200
Mailing address
32162 TEASEL CT, AVON LAKE, OH 44012-2742
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
405558
OH
363L00000X
Nurse Practitioner
Primary
026331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026331
APRN CNP
OH
01
—
405558
RN LICENSE NUMBER
—
Enumeration date
11/26/2019
Last updated
02/19/2020
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