Draves, Susan

Draves, Susan is an individual health care provider with primary practice located at 330 N Wabash Ave Ste 370, Marion IN 46952-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Draves, Susan can be contacted via phone (765) 660-7630.

Contact Information

Primary practice address
330 N Wabash Ave Ste 370 Marion IN 46952-2600
Phone: (765) 660-7630
Fax: (765) 664-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000254A Indiana

Profile Details

NPI number 1831170505
LBN Legal business name Draves, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 21st, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170505 NPPES
Indiana MEDICAID 200190010A
Indiana Other 000000321907

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