Individual provider · Type 1 NPI

Walliss Courtney Suter

Licensed Practical Nurse · Milford, OH

NPI number 1124656905 Active

Practice location

25 Whitney Dr Ste 120
Milford, OH 45150-8400

Mailing address

3903 S Clerose Cir
Cincinnati, OH 45205-2106

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X173922 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124656905

Walliss Courtney Suter's National Provider Identifier is 1124656905, issued on Mar 29, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milford, OH. The record was last updated on Mar 29, 2020.