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Contact Information

SUSAN J BADER, RN
2850 N 24TH ST
PHOENIX, AZ85008-1004
 Phone: 602-266-5976
 Fax: 602-274-8952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for SUSAN J BADER · (Female)

NPI Number 1750407383
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/22/2007
Last updated 11/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # RN170031
  • CO License # 99392
  • AZ Medicaid 042127
  • AZ Medicaid 936560
  • CO Other 99392 LICENSE
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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