Grady, Suzanne Dixon

Grady, Suzanne Dixon is an sole proprietor health care provider with primary practice located at 3292 Peoria St , Aurora CO 80010-1517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Grady, Suzanne Dixon can be contacted via phone (303) 360-6276.

Contact Information

Primary practice address
3292 Peoria St Aurora CO 80010-1517
Phone: (303) 360-6276
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 168897 Colorado

Profile Details

NPI number 1275613077
LBN Legal business name Grady, Suzanne Dixon
Credentials CNM, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Mar 9th, 2016 - about 9 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 1275613077 NPPES
Colorado MEDICAID 13683748

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