MEDICARE: SUSAN P NURSE LPN

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	164W00000X	Licensed Practical Nurse	199450-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003002601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN P NURSE LPN

Provider Business Mailing Address
First Line	:	13319 CHAPMAN CORNERS RD
Second Line	:
City	:	RED CREEK
State	:	NY
Zip	:	13143-3187
Country	:	US
Telephone Number	:	315-879-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	13319 CHAPMAN CORNERS RD
Second Line	:
City	:	RED CREEK
State	:	NY
Zip	:	13143-3187
Country	:	US
Telephone Number	:	315-879-1099
Fax Number	:

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

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/18/2007

Similar Medicare Providers

1952337297 — TOTAL CARE SERVICES, INC.
Practice Location Address:

3187 PETERS CREEK PKWY , SUITE B
WINSTON SALEM, NC
27127-4713

Practice Phone: 336-760-8336
Practice Fax:

1538817200 — EMMA EDGAR MS CF SLP
Practice Location Address:

4030 TATES CREEK RD APT 5103
LEXINGTON, KY
40517-3187

Practice Phone: 502-553-8413
Practice Fax:

1538207345 — RED CREEK CENTRAL SCHOOL DISTRICT
Practice Location Address:

6815 CHURCH STREET
RED CREEK, NY
13143-0190

Practice Phone: 315-754-2045
Practice Fax:

1265740112 — MS. AILEEN M SZYMANIAK MS, CCC-SLP
Practice Location Address:

6624 SOUTH ST
RED CREEK, NY
13143-9510

Practice Phone: 315-754-2010
Practice Fax:

1568770790 — RED CREEK CENTRAL SCHOOL
Practice Location Address:

6574 SOUTH ST
RED CREEK, NY
13143-9551

Practice Phone: 315-754-2081
Practice Fax:

1437469491 — MRS. CATHERINE MARKLEY MICHELSON
Practice Location Address:

6624 SOUTH ST
RED CREEK, NY
13143-9510

Practice Phone: 315-754-2100
Practice Fax:

Directions to “ SUSAN P NURSE LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.