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
Phone: (814) 453-4718
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811983430 | NPPES |
Pennsylvania | Other | BA1994212 | HIGHMARK |
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