MS. Susan H Wallace, APRN

NPI #1093826497 in Omaha, Nebraska

Provider Information

NPI Number
1093826497
Entity Type
Individual
Name
MS. Susan H Wallace, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
APRN
Enumeration Date
Aug 31, 2006
Last Updated
Dec 20, 2013

Practice Location

Address
16120 W DODGE RD
City
Omaha
ZIP Code
68118-2049
Phone
(402) 354-0550

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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