SUSAN P WALLA APRN
NPI 1962589747
Nurse Practitioner - Psychiatric/Mental Health in Gillette, WY

Q: What is Susan Walla's NPI number?

The NPI number for Susan Walla is 1962589747. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Susan Walla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Susan Walla was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006

707 W 8TH ST, GILLETTE, WY 82716(307) 685-8255(888) 852-8319 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan P Walla Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN P WALLA APRN (NPI 1962589747) is an individual psychiatric/mental health provider in Gillette, Wyoming, licensed in Wyoming (29650.1122) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962589747

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSUSAN P WALLACredential: APRN

Location Address707 W 8TH STGillette, WY 82716-4108

Mailing Address748 Main StLander, WY 82520-3036 · (307) 332-2231 · Fax (307) 332-2231

Phone(307) 685-8255

Fax(888) 852-8319

Sole ProprietorYes

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 24, 2016

✔ NPI 1962589747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WY · 29650.1122✔ Licensed in MT · 21112

707 W 8TH ST, Gillette, WY 82716

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Other Identifiers 2

Medicaid136049300WY

Medicaid0000439212MT

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADONAI MENTAL HEALTH SERVICES

Clinic/Center (Adult Mental Health)

707 W 8TH ST
GILLETTE, WY 82716

Campbell County (307) 685-8255

HEATHER SCHMELZLE MA, LPC

Counselor

707 W 8TH ST
GILLETTE, WY 82716

Campbell County (307) 685-8255

COUNSELING CONNECTIONS, LLC

Community/Behavioral Health

707 W 8TH ST
GILLETTE, WY 82716

Campbell County (307) 685-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Walla's NPI number?

The NPI number for Susan Walla is 1962589747. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Susan Walla located?

Susan Walla practices at 707 W 8th St, Gillette, WY 82716. The listed phone number is (307) 685-8255.

What is Susan Walla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Susan Walla was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.