DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN J TATE, MD

Active

SUSAN J TATE, MD is a Emergency Medical Services healthcare provider located in FORT WAINWRIGHT, Alaska. NPI 1184611519 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · FORT WAINWRIGHT, AK

Registration Details

NPI Number
1184611519
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2005 (20.896222000476 yrs)
Last Updated
May 28, 2025
License
4295 (AK)

Practice Information

Address
4076 NEELY ROAD
FORT WAINWRIGHT, AK, 99703
Browse AK providers · Browse ZIP 99703
Phone
9073615479
Primary Specialty
Emergency Medical Services
207PE0004X
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.