Individual
SUSAN HANSTED-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3134
(813) 223-5434
(813) 229-2133
Mailing address
720 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3134
(813) 223-5434
(813) 229-2133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3045762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29580
BCBS
FL
Enumeration date
06/06/2006
Last updated
04/17/2008
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