Ott, Susan Mary

Ott, Susan Mary is an individual health care provider with primary practice located at 4800 Friendship Ave , Pittsburgh PA 15224-1722. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Ott, Susan Mary can be contacted via phone (412) 359-3030.

Contact Information

Primary practice address
4800 Friendship Ave Pittsburgh PA 15224-1722
Phone: (412) 359-3030
Fax: (412) 359-3060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP007734 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP007734 Pennsylvania

Profile Details

NPI number 1023152626
LBN Legal business name Ott, Susan Mary
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Oct 5th, 2020 - about 4 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 1023152626 NPPES
Pennsylvania MEDICAID 103188610

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