Individual provider · Type 1 NPI
Susan Kay Balthazor, RN
Pediatric Registered Nurse · Stoughton, WI
NPI number
1508375247
Active
Practice location
1916 Eastwood Dr
Stoughton, WI 53589-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 16791-030 (WI) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Stoughton
About NPI 1508375247
Susan Kay Balthazor, RN's National Provider Identifier is 1508375247, issued on Sep 26, 2017. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Stoughton, WI. The record was last updated on Sep 26, 2017.