Wilson, Susan C

Wilson, Susan C is an sole proprietor health care provider with primary practice located at 802 2Nd St N Suite B, Safety Harbor FL 34695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilson, Susan C can be contacted via phone (352) 345-0530.

Contact Information

Primary practice address
802 2Nd St N Suite B Safety Harbor FL 34695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11019679 Florida

Profile Details

NPI number 1104563105
LBN Legal business name Wilson, Susan C
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2022
Last updated Mar 15th, 2024 - about 6 months 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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