Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN HEATHER LAKE, AGNP
Active Sole ProprietorSUSAN HEATHER LAKE, AGNP is a Gerontological Nurse Practitioner healthcare provider located in TRENTON, New Jersey. NPI 1790255941 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · TRENTON, NJ
Registration Details
- NPI Number
- 1790255941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2018 (7.6746294291299 yrs)
- Last Updated
- Nov 30, 2018
- Licenses
-
26NJ00877500 (NJ)26NJ00877500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1618 RIVERSIDE DRIVETRENTON, NJ, 08618Browse NJ providers · Browse ZIP 08618
- Phone
- 6093727754
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in TRENTON, NJ
| Name | Credential | NPI |
|---|---|---|
| LINDY J INMAN | CRNP | 1285056242 |
| RACHEL HUGHES | PAN | 1770134660 |
| JACQUELENE VERTUS | APN | 1710511423 |
| ELZBIETA JOANNA KACZMAREK | APN | 1720738289 |
| GINA NOVILUS | NP | 1003662545 |
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.