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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SUSAN P NURSE, LPN
13319 CHAPMAN CORNERS RD
RED CREEK, NY13143-3187
 Phone: 315-879-1099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SUSAN P NURSE · (Female)

NPI # 1003002601
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 09/18/2007
Last updated 09/18/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 199450-1
  • NY Medicaid 02824073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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