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NPI Code Detail

MEDICARE: SUSAN FRANCES MACPHERSON CNP

MEDICARE: SUSAN FRANCES MACPHERSON CNP
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
1363LP0200XPediatric Nurse Practitioner2013009643OH

General Provider Information

NPI Number : 1194166900
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN FRANCES MACPHERSON CNP
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : MAIL LOCATION 3004
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4215
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : MAIL LOCATION 3004
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 01/23/2015

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