MS. SUSAN WALLACE
Nurse Practitioner - Adult Health
Active
Individual
NPI: 1104000199
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | Yes | ARNP3262052 (FL) |
Frequently Asked Questions
NPI 1104000199 is the National Provider Identifier for MS. SUSAN WALLACE, a Nurse Practitioner - Adult Health provider located in Lutz, FL. This NPI was enumerated on December 26, 2007.
MS. SUSAN WALLACE practices at 17501 DALE MABRY HWY N, Lutz, FL 33548.
Quick Facts
- NPI
- 1104000199
- Type
- Individual
- Enumerated
- Dec 26, 2007
- Last Updated
- Dec 26, 2007
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