Susan Kay Balthazor, RN Valid NPI

Individual provider · Pediatric Registered Nurse · Stoughton, WI

NPI

1508375247

Type

Individual (Type 1)

Primary specialty

Pediatric Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0200X

License number

16791-030 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2017-09-26

Last updated

2017-09-26