Priddy, Susan Rae
Priddy, Susan Rae is an sole proprietor health care provider with primary practice located at 1200 E James Lee Blvd , Crestview FL 32539-3126. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Priddy, Susan Rae can be contacted via phone (850) 689-5764.Contact Information
Primary practice address
1200 E James Lee Blvd
Crestview FL 32539-3126
Phone: (850) 689-5764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | 9207254 | Florida |
Profile Details
| NPI number | 1639923592 |
|---|---|
| LBN Legal business name | Priddy, Susan Rae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2024 |
| Last updated | Apr 16th, 2024 - about 7 months 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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