Individual
MS. SUSAN WALSH ADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 679-6873
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
001755
CT
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
001755
CT
Other
Enumeration date
09/27/2007
Last updated
02/26/2021
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