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NPI Profile for SUSAN R PRIDDY in CRESTVIEW, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI Number | 1639923592 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 04/16/2024 | |
| Last updated | 04/16/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN R PRIDDY
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SUSAN R PRIDDY, RN