SUSAN WALLACE

Registered Nurse

Active Individual
NPI: 1194985887

Practice Address

E HWY 18
Pine Ridge, SD 57770

Phone: (605) 867-5131

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 26784 (NE)

Frequently Asked Questions

NPI 1194985887 is the National Provider Identifier for SUSAN WALLACE, a Registered Nurse provider located in Pine Ridge, SD. This NPI was enumerated on June 16, 2008.
SUSAN WALLACE practices at E HWY 18, Pine Ridge, SD 57770.

Quick Facts

NPI
1194985887
Type
Individual
Enumerated
Jun 16, 2008
Last Updated
Jun 16, 2008

Nearby Providers