Orcutt, Susan Ledantec

Orcutt, Susan Ledantec is an individual health care provider with primary practice located at 1905 Blake Ave Suite 101, Glenwood Springs CO 81601-4288. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Orcutt, Susan Ledantec can be contacted via phone (970) 945-2840.

Contact Information

Primary practice address
1905 Blake Ave Suite 101 Glenwood Springs CO 81601-4288
Phone: (970) 945-2840
Fax: (970) 945-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 164864 Colorado

Profile Details

NPI number 1871783738
LBN Legal business name Orcutt, Susan Ledantec
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jan 5th, 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 1871783738 NPPES
Colorado MEDICAID 72000252

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