Leftwich, Susan Elizabeth

Leftwich, Susan Elizabeth is an individual health care provider with primary practice located at 2602 Saint Michael Dr Ste 400 , Texarkana TX 75503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Leftwich, Susan Elizabeth can be contacted via phone (903) 614-5670.

Contact Information

Primary practice address
2602 Saint Michael Dr Ste 400 Texarkana TX 75503
Phone: (903) 614-5670
Fax: (903) 614-5674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 652379 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP116650 Texas

Profile Details

NPI number 1205007309
LBN Legal business name Leftwich, Susan Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated May 25th, 2018 - about 6 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 1205007309 NPPES
Texas MEDICAID 193546203

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