Individual
ELLEN M WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(330) 723-2700
(330) 723-2709
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN273273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737042
—
OH
Enumeration date
10/13/2006
Last updated
07/12/2011
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