Shields, Susan W

Shields, Susan W is an individual health care provider with primary practice located at 501 6Th Ave S Dept #6580071309, St Petersburg FL 33701-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shields, Susan W can be contacted via phone (727) 767-4147.

Contact Information

Primary practice address
501 6Th Ave S Dept #6580071309 St Petersburg FL 33701-4634
Phone: (727) 767-4147
Fax: (727) 767-8408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1402992 Florida

Profile Details

NPI number 1871568105
LBN Legal business name Shields, Susan W
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 11th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871568105 NPPES
Florida MEDICAID 008583600

Popular Providers