Individual provider · Type 1 NPI
Susan A. Walthall, NP
Nurse Practitioner · Ann Arbor, MI
Practice location
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Mailing address
3621 S State St, 700 Kms Place
Ann Arbor, MI 48108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 4704119195 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704119195 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1861469330
Susan A. Walthall, NP's National Provider Identifier is 1861469330, issued on Mar 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Dec 23, 2009.