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Individual
SUSAN J WALDEN
Active
Individual
SUSAN J WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN256011
GA
163WC0400X
Case Management Registered Nurse
RN256011
GA
363L00000X
Nurse Practitioner
CP002059
SD
363L00000X
Nurse Practitioner
RN256001
GA
363L00000X
Nurse Practitioner
Primary
RN256011
GA
Other
Enumeration date
01/24/2018
Last updated
02/09/2024
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