NPI 1013406354

Susan Annette Walden

Practitioner Home Health Aide Beaumont, TX

Practice location

Address: 3330 Fannin St, Beaumont, TX 77701-3801
Phone: (409) 832-3304

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1013406354
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2018
Record last updated: 2 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.