Individual
MRS. SUSAN TERRY MALAND-LUDEWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028-6025
(602) 494-5050
Mailing address
11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028-6025
(602) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP2772
AZ
Other
Enumeration date
08/01/2007
Last updated
03/30/2010
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