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Susan P Walla, APRN
Psychiatric/Mental Health Nurse Practitioner in Gillette, Wyoming
NPI 1962589747

Susan P Walla is a Psychiatric/Mental Health Nurse Practitioner based in Lander, WY and is specialized in Psychiatric/Mental Health. Susan P Walla practices in Gillette, WY and has the professional credentials of APRN. The NPI Number for Susan P Walla is 1962589747 and holds a License No. 21112 (Wyoming).

The current practice location address for Susan P Walla is 707 W 8Th St, Gillette, WY and can be reached out via phone at 307-685-8255 and via fax at 888-852-8319.

Location: 707 W 8Th St, Gillette, WY, 82520-3036
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Provider Profile Details
NPI Number
1962589747
Provider Name
Susan P Walla
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
707 W 8Th St, Gillette, WY, 82520-3036
Phone Number
307-685-8255
Fax Number
888-852-8319
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000439212 05 MT
136049300 05 WY
institution
Provider Business Practice Location Address Details
Address
707 W 8Th St
City
State
Zip
82716-4108
Phone Number
307-685-8255
Fax Number
888-852-8319
person
Provider Business Mailing Address Details
Address
707 W 8Th St
City
State
Zip
82716-4108
Phone Number
307-685-8255
Fax Number
888-852-8319
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
21112 (Montana)
Definition
Definition to come...
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