Albright, Susan Lara
Albright, Susan Lara is an individual health care provider with primary practice located at 537 Union Ave , Grants Pass OR 97527-5543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Albright, Susan Lara can be contacted via phone (541) 507-2170.Contact Information
Primary practice address
537 Union Ave
Grants Pass OR 97527-5543
Phone: (541) 507-2170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.12204-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201501648NP | Oregon |
Profile Details
| NPI number | 1265739742 |
|---|---|
| LBN Legal business name | Albright, Susan Lara |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2011 |
| Last updated | Aug 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265739742 | NPPES |
| Oregon | MEDICAID | 500686240 |
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