Prendergast, Susan M
Prendergast, Susan M is an sole proprietor health care provider with primary practice located at 3533 Sw Vincennes St , Port St Lucie FL 34953-3771. 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. Prendergast, Susan M can be contacted via phone (954) 821-9337.Contact Information
Primary practice address
3533 Sw Vincennes St
Port St Lucie FL 34953-3771
Phone: (954) 821-9337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP 3201922 | Florida |
Profile Details
| NPI number | 1447587944 |
|---|---|
| LBN Legal business name | Prendergast, Susan M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2009 |
| Last updated | Nov 4th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447587944 | NPPES |
| Florida | MEDICAID | 3066631 00 |
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