Kustad, Susan Renee

Kustad, Susan Renee is an individual health care provider with primary practice located at 1015 N State Road 7 Ste D , Royal Palm Beach FL 33411-5185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kustad, Susan Renee can be contacted via phone (561) 798-9417.

Contact Information

Primary practice address
1015 N State Road 7 Ste D Royal Palm Beach FL 33411-5185
Phone: (561) 798-9417
Fax: (561) 798-9419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9234339 Florida

Profile Details

NPI number 1871842823
LBN Legal business name Kustad, Susan Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Dec 23rd, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871842823 NPPES
Florida MEDICAID 104866700

Popular Providers