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Contact Information

SUSAN L DUMMER, NP
980 W. IRONWOOD
SUITE 101
COEUR D'ALENE, ID83814
 Phone: 208-765-1455
 Fax: 208-667-8655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN L DUMMER · (Female)

NPI Number 1073540605
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/27/2006
Last updated 07/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ID License # N-19918
  • ID License # NP203A
  • ID Medicaid 002791900
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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