person
Susan Sarita Walsh
Psychiatric/Mental Health Nurse Practitioner in Peoria, Illinois
NPI 1821877010

Susan Sarita Walsh is a Psychiatric/Mental Health Nurse Practitioner based in Peoria, IL and is specialized in Psychiatric/Mental Health. Susan Sarita Walsh practices in Peoria, IL. The NPI Number for Susan Sarita Walsh is 1821877010 and holds a License No. 209028319 (Illinois).

The current practice location address for Susan Sarita Walsh is 228 Ne Jefferson Ave, Peoria, IL and can be reached out via phone at 309-672-3100 and via fax at 309-671-3711.

Location: 228 Ne Jefferson Ave, Peoria, IL, 61602-1060
person
Provider Profile Details
NPI Number
1821877010
Provider Name
Susan Sarita Walsh
Credential
Provider Entity Type
Individual
Gender
Female
Address
228 Ne Jefferson Ave, Peoria, IL, 61602-1060
Phone Number
309-672-3100
Fax Number
309-671-3711
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
228 Ne Jefferson Ave
City
State
Zip
61603-3802
Phone Number
309-672-3100
Fax Number
309-671-3711
person
Provider Business Mailing Address Details
Address
228 Ne Jefferson Ave
City
State
Zip
61603-3802
Phone Number
309-672-3100
Fax Number
309-671-3711
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209028319 (Illinois)
Definition
Definition to come...
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