Healthcare Provider Details

I. General information

NPI: 1922948652
Provider Name (Legal Business Name): SUSAN MARY HARTFIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S 3RD AVE
BIG RAPIDS MI
49307-9501
US

IV. Provider business mailing address

625 N STATE ST
BIG RAPIDS MI
49307-1452
US

V. Phone/Fax

Practice location:
  • Phone: 231-796-5825
  • Fax:
Mailing address:
  • Phone: 517-200-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704428211
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number4704428211
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number4704428211
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number4704428211
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: