Doctor Name: | SUSAN WALTER |
NPI Number: | 1154617298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN27165 |
Business Practice Address: | 760 Hospital Circle Browning, MT - 59417 |
Business Phone Number: | 4063386164 |
Business Fax Number: | |
Mailing Address: | 15 S Delaware St, CONRAD |
State: | MT |
Postal Code: | 594251814 |
Phone Number: | 4063386164 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN27165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |