Susan P Nurse is a Licensed Practical Nurse in the RED CREEK area. Susan P Nurse primary office location is at 13319 CHAPMAN CORNERS RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003002601 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
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199450-1 | NY |
Type/Issuer | Identifier | State |
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MEDICAID | 02824073 | NY |
Taxonomy | State | Primary? |
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Licensed Practical Nurse - Taxonomy Code 164W00000X | NY | Y |