Individual provider · Type 1 NPI
Susan Lally
Psychiatric/Mental Health Nurse Practitioner · Greenville, NC
NPI number
1861052979
Active
Practice location
707 Wh Smith Blvd
Greenville, NC 27834-3752
Mailing address
2075 Nc 121
Greenville, NC 27834-7188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 211939 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1861052979
Susan Lally's National Provider Identifier is 1861052979, issued on Jun 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greenville, NC. The record was last updated on Jun 20, 2019.