Walthall, Susan A
Walthall, Susan A is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr , Ann Arbor MI 48105-9484. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Walthall, Susan A can be contacted via phone (734) 998-7400.Contact Information
Primary practice address
24 Frank Lloyd Wright Dr
Ann Arbor MI 48105-9484
Phone: (734) 998-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4704119195 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704119195 | Michigan |
Profile Details
| NPI number | 1861469330 |
|---|---|
| LBN Legal business name | Walthall, Susan A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Dec 23rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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