Markham, Susan

Markham, Susan is an individual health care provider with primary practice located at 31 Sycamore St Suite 201-B, Glastonbury CT 06033-4540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Markham, Susan can be contacted via phone (860) 659-0629.

Contact Information

Primary practice address
31 Sycamore St Suite 201-B Glastonbury CT 06033-4540
Phone: (860) 659-0629
Fax: (860) 714-6698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001758 Connecticut

Profile Details

NPI number 1760455786
LBN Legal business name Markham, Susan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 29th, 2007 - about 17 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 1760455786 NPPES
Connecticut Other 001758 CT STATE LICENSE

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