IndividualActive
Susan Balthazor, RN
NPI 1508375247 · Pediatric Registered Nurse · Stoughton, WI
Provider details
- NPI number
- 1508375247
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 16791-030 (WI)
Mailing address
1916 Eastwood Dr
Stoughton, WI 53589-5250
Registry dates
- Enumerated
- 2017-09-26
- Last updated
- 2017-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.