Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN HAWTHORNE
Active Sole ProprietorSUSAN HAWTHORNE is a Podiatric Surgery healthcare provider located in IMPERIAL, Missouri. NPI 1043869456 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · IMPERIAL, MO
Registration Details
- NPI Number
- 1043869456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2019 (6.9438944881268 yrs)
- Last Updated
- May 7, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2918 SUNRIDGE PLACEIMPERIAL, MO, 63052Browse MO providers · Browse ZIP 63052
- Phone
- 6362967704
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.