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Individual

SUSAN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGAC-NP

Contact information

Practice address
3202 S W S YOUNG DR, SUITE #102, KILLEEN, TX 76542-6537
(254) 247-3322
Mailing address
1800 VOLLEY LN, HARKER HEIGHTS, TX 76548-6034
(214) 500-7167

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP128126
TX
363LG0600X
Gerontology Nurse Practitioner
AP128126
TX

Other

Enumeration date
08/16/2015
Last updated
10/19/2015
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