Wallace, Susan

Wallace, Susan is an individual health care provider with primary practice located at 2509 Research Blvd , Fort Collins CO 80526-8108. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wallace, Susan can be contacted via phone (970) 405-2529.

Contact Information

Primary practice address
2509 Research Blvd Fort Collins CO 80526-8108
Phone: (970) 405-2529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN0023246 Colorado

Profile Details

NPI number 1841014784
LBN Legal business name Wallace, Susan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2024
Last updated Nov 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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