Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN P WALLA, APRN
Active Sole ProprietorPsychiatric/Mental Health Nurse Practitioner · GILLETTE, WY
Registration Details
- NPI Number
- 1962589747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.48181243059 yrs)
- Last Updated
- Aug 24, 2016
- Licenses
-
21112 (MT)29650.1122 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
707 W 8TH STGILLETTE, WY, 827164108Browse WY providers · Browse ZIP 82716
- Phone
- 3076858255
- Fax
- 8888528319
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in GILLETTE, WY
| Name | Credential | NPI |
|---|---|---|
| BRENDA J HOLROYD | NURSE PRACTITIONER | 1639375678 |
| SARAH ANNE SMITH | DNP | 1871987826 |
| MRS. RICKAY MARIE WOLF | APRN, PMHNP-BC | 1023486016 |
| ECHO ORA ROSE DOWNEY | PMHNP-BC | 1881296515 |
| KRISTINA MARIE GRAY | APRN PMHNP-BC | 1952056350 |
| MADONNA M REECE | PMHNP | 1790432540 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.