MS. Susan Ann Wallace
NPI #1104000199 in Lutz, Florida
Provider Information
- NPI Number
- 1104000199
- Entity Type
- Individual
- Name
- MS. Susan Ann Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Dec 26, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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