Individual provider

SUSAN P NURSE, LPN

CMS NPPES lists SUSAN P NURSE as an individual provider record with NPI 1003002601. The current record reports a primary practice location in RED CREEK, NY and primary taxonomy code 164W00000X.

NPI 1003002601Record type Type 1Primary taxonomy 164W00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    13319 CHAPMAN CORNERS RDRED CREEK, NY 131433187

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 164W00000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
September 18, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.