Susman, Marisue

Susman, Marisue is an individual health care provider with primary practice located at 1620 S Celebration Ave , Meridian ID 83642-2779. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Susman, Marisue can be contacted via phone (208) 884-1030.

Contact Information

Primary practice address
1620 S Celebration Ave Meridian ID 83642-2779
Phone: (208) 884-1030
Fax: (208) 884-3058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP-1488A Idaho

Profile Details

NPI number 1205124377
LBN Legal business name Susman, Marisue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Oct 27th, 2015 - about 10 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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