Healthcare Provider Details

I. General information

NPI: 1629289871
Provider Name (Legal Business Name): SUSAN D SEEGER RN, APN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BEAUVOIR AVE
SUMMIT NJ
07901-3533
US

IV. Provider business mailing address

205 EDGEWOOD AVE
WESTFIELD NJ
07090-3917
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-4985
  • Fax: 908-522-4988
Mailing address:
  • Phone: 908-522-4985
  • Fax: 908-522-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: