Ezzi, Susan

Ezzi, Susan is an individual health care provider with primary practice located at 1086 Dumont Cir , Voorhees NJ 08043-3500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Ezzi, Susan can be contacted via phone (856) 454-9100.

Contact Information

Primary practice address
1086 Dumont Cir Voorhees NJ 08043-3500
Phone: (856) 454-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00617200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00617200 New Jersey

Profile Details

NPI number 1730547480
LBN Legal business name Ezzi, Susan
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2016
Last updated Mar 7th, 2023 - about 2 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 1730547480 NPPES
New Jersey Other 26NO12373900 NJ BOARD OF NURSING
New Jersey Other P00686400 NJ BOARD OF NURSING
New Jersey Other 26NJ00617200 NJ BOARD OF NURSING

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