Susan Dieterle Wahl, RN
Registered Nurse in Tuba City, AZ. Individual provider (NPI-1).
NPI number1154772853
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1154772853
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Dieterle Wahl
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN170803 | AZ | Yes |
Practice location
167 North Main StreetTuba City, AZ 86045-0600
Phone 928-283-2094 · Fax 928-283-2677
Mailing address
Po Box 600Tuba City, AZ 86045-0600
Phone 928-283-2094 · Fax 928-283-2677
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