Scriven, Susan Blaisdell

Scriven, Susan Blaisdell is an individual health care provider with primary practice located at 240 W 11Th St Suite 102, Erie PA 16501-1758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Scriven, Susan Blaisdell can be contacted via phone (814) 453-4718.

Contact Information

Primary practice address
240 W 11Th St Suite 102 Erie PA 16501-1758
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X UP-001225 B Pennsylvania

Profile Details

NPI number 1811983430
LBN Legal business name Scriven, Susan Blaisdell
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 20th, 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 1811983430 NPPES
Pennsylvania Other BA1994212 HIGHMARK

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