Susan Wallace, APRN

NPI 1093826497 · on the registry since 2006

Practice

Address: 16120 W Dodge Rd
Omaha, NE 68118
Phone: (402) 354-0550
Fax: (402) 354-0555
Organisation at this address: Md West One, Pc
Physicians Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Nurse Practitioner
Licence states on file: NE, IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska