Susan P Walla, APRN - Nurse Practitioner in Gillette, WY

Susan P Walla, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Gillette, Wyoming. Susan P Walla is licensed to practice in Wyoming (license number 29650.1122) and her current practice location is 707 W 8th St, Gillette, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 685-8255.

NPI number for Susan P Walla is 1962589747 and her current mailing address is 748 Main St, Lander, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962589747.

Contact Information

Susan P Walla, APRN
707 W 8th St,
Gillette, WY 82716-4108
(307) 685-8255
(888) 852-8319

Map and Direction




Provider's Profile

Full NameSusan P Walla
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location707 W 8th St, Gillette, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962589747
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 08/24/2016

Medical Identifiers

Medical identifiers for Susan P Walla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962589747NPI-NPPES
0000439212MedicaidMT
136049300MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 21112 (Montana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 29650.1122 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan P Walla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan P Walla, APRN
748 Main St,
Lander, WY 82520-3036

Ph: (307) 332-2231
Susan P Walla, APRN
707 W 8th St,
Gillette, WY 82716-4108

Ph: (307) 685-8255

Reviews and Comments


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