Individual provider · Type 1 NPI

Susan Wallace, LPN

Licensed Practical Nurse · Fort Collins, CO

NPI number 1841014784 Active

Practice location

2509 Research Blvd
Fort Collins, CO 80526-8108

Call (970) 405-2529 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN0023246 (CO)

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 1841014784

Susan Wallace, LPN's National Provider Identifier is 1841014784, issued on Nov 7, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Nov 7, 2024.