MEDICARE: MRS. SUSAN SCHUR RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN. 323905	OH

General Provider Information

NPI Number	:	1104039692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN SCHUR RN

Provider Business Mailing Address
First Line	:	4506 PEARSE AVE
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-3242
Country	:	US
Telephone Number	:	216-253-8803
Fax Number	:

Provider Business Practice Location Address
First Line	:	4506 PEARSE AVE
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-3242
Country	:	US
Telephone Number	:	216-253-8803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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