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:
Health care specialties
Specialty | Code | License # | 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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