Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNA IM
ActiveSUSANNA IM is a Nurse Practitioner healthcare provider located in WASHINGTON TOWNSHIP, New Jersey. NPI 1003571621 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WASHINGTON TOWNSHIP, NJ
Registration Details
- NPI Number
- 1003571621
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2021 (4.7406697861637 yrs)
- Last Updated
- Jan 6, 2022
- License
-
26NJ01244400 (NJ)
Practice Information
- Address
-
435 HURFFVILLE - CROSS KEYS RDWASHINGTON TOWNSHIP, NJ, 08080Browse NJ providers · Browse ZIP 08080
- Phone
- 8565822500
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.