| Doctor Name: | SUSAN WARD |
| NPI Number: | 1073989885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGAC-NP |
| License Number: | AP128126 |
| Business Practice Address: | 3202 S W S Young Dr Suite #102 Killeen, TX - 765426537 |
| Business Phone Number: | 2542473322 |
| Business Fax Number: | |
| Mailing Address: | 1800 Volley Ln, HARKER HEIGHTS |
| State: | TX |
| Postal Code: | 765486034 |
| Phone Number: | 2145007167 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP128126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |