Ravessoud, Susann

Ravessoud, Susann is an individual health care provider with primary practice located at 3500 Northrise Dr , Las Cruces NM 88011-7274. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, 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. Ravessoud, Susann can be contacted via phone (575) 395-7246.

Contact Information

Primary practice address
3500 Northrise Dr Las Cruces NM 88011-7274
Phone: (575) 395-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN430276 California
Nursing Service Providers / Registered Nurse 163W00000X RN-74298 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP10007 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP-01878 New Mexico

Profile Details

NPI number 1477543759
LBN Legal business name Ravessoud, Susann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 13th, 2022 - about 2 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 1477543759 NPPES
New Mexico MEDICAID 00453277

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