Susan P Walla in Gillette - Psychiatric/mental Health
Susan P Walla - NPI 1962589747
Susan P Walla is a Psychiatric/mental Health in Gillette, . Susan P Walla practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Susan P Walla is 1962589747. The last update date is 2016-08-24.
Susan P Walla's current location address is 707 W 8th St, Gillette, . You can contact this provider via phone number 3076858255 and fax number 8888528319. The mailing address for Susan P Walla is 707 W 8th St, Gillette, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan P Walla |
|---|---|
| Address | 707 W 8th St, Gillette, |
| Phone Number | 3076858255 |
| Fax Number | 8888528319 |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1962589747 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2016-08-24 |
Provider Mailing Address Detail
| Address | 707 W 8th St |
|---|---|
| City | Gillette |
| State | (WY) |
| Post Code | 827164108 |
| Phone Number | 3076858255 |
| Fax Number | 8888528319 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 21112 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 439212 | MT | -- | |
| 136049300 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan P Walla by the Centers for Medicare & Medicaid Services?
The Susan P Walla has been issued the NPI (National Provider Identifier) 1962589747, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan P Walla is physically located?
The Susan P Walla is situated at the following address: 707 W 8Th St, Gillette, WY 827164108.
What is Susan P Walla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan P Walla is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.
When did Susan P Walla receive its 1962589747 assignment?
The Susan P Walla was assigned its 1962589747 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Susan P Walla most recently updated or revised?
The details related to Susan P Walla, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-24.
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