Individual
SUK WAHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CCM
Contact information
Practice address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(385) 377-2653
(770) 777-6371
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(385) 377-2653
(770) 777-6371
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
195052-3102
UT
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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