| Susan Jean Wallace, | |
|
E Hwy 18, Pine Ridge, SD 57770-1201 | |
| (605) 867-5131 | |
| (605) 867-3263 |
| Full Name | Susan Jean Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | E Hwy 18, Pine Ridge, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194985887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26784 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Jean Wallace, E Hwy 18, Pine Ridge, SD 57770-1201 Ph: () - | Susan Jean Wallace, E Hwy 18, Pine Ridge, SD 57770-1201 Ph: (605) 867-5131 |
Darcie Thies, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: East Hwy 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Anita Larae Easton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge Ihs, Pine Ridge, SD 57770 Phone: 605-867-3068 | |
Virginia Horn, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1201 East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-6369 | |
Jobeth Ann Swallow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Miss Mary Elizabeth Colhoff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Highway 18 East, Pine Ridge, SD 57770 Phone: 605-867-5131 Fax: 605-867-3306 | |
Gloria Esther Velazco, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: East Highway 18, Pine Ridge, SD 57770 Phone: 605-867-5131 | |
Karen L Carpio, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: E Hwy 18, Pine Ridge, SD 57770 Phone: 605-867-5131 Fax: 605-867-3305 |