Wrona, Susan
Wrona, Susan is an sole proprietor health care provider with primary practice located at 14 Cottage St , Medford OR 97504-7332. 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. Wrona, Susan can be contacted via phone (541) 292-6722.Contact Information
Primary practice address
14 Cottage St
Medford OR 97504-7332
Phone: (541) 292-6722
Fax: (541) 326-0028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 000033109N6 PMHNP-PP | Oregon |
Profile Details
| NPI number | 1518013705 |
|---|---|
| LBN Legal business name | Wrona, Susan |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jan 9th, 2020 - about 4 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 | 1518013705 | NPPES |
| Oregon | Other | 060011000 | BLUE CROSS NUMBER |
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