Ms. Susan H. Wallace APRN
Nurse Practitioner in Omaha, NE(View on Map)
Full Name
Ms. Susan H Wallace APRN
NPI Number
1093826497
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/31/2006
Specialties
(Taxonomies)Licenses
State
Iowa
Nebraska
License Number
092180
110115
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3755
16120 W DODGE RD
City
Omaha
Omaha
State
NE
NE
Postal Code
68103-0755
68118-2049
Country
US
US
Telephone Number
(402) 354-2100
(402) 354-0550
Identifiers
Identifier
1093826497
47068731727
Identifier State
IA
NE
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/20/2013