MEDICARE: SUSAN MARIE ELDER R.N.

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	1050463	KY

General Provider Information

NPI Number	:	1255860649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MARIE ELDER R.N.

Provider Business Mailing Address
First Line	:	2816 ESTHER BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1102
Country	:	US
Telephone Number	:	502-777-9702
Fax Number	:

Provider Business Practice Location Address
First Line	:	2816 ESTHER BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220
Country	:	US
Telephone Number	:	502-777-9702
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1255461281 — PATRICIA GARRITY
Practice Location Address:

3717 TAYLORSVILLE RD
LOUISVILLE, KY
40220-1333

Practice Phone: 502-589-1100
Practice Fax: 502-589-8771

1972465599 — AFFORDABLE DENTURES & IMPLANTS - KENTUCKY III PLLC
Practice Location Address:

2010 S HURSTBOURNE PKWY
LOUISVILLE, KY
40220-4207

Practice Phone: 502-491-0054
Practice Fax:

1114644937 — MARISA BROOKE FAIBISH MS, RD, CSSD
Practice Location Address:

2719 SHEILA DR
LOUISVILLE, KY
40220-1717

Practice Phone: 954-598-3112
Practice Fax:

1881697464 — CLINICAL ASSOCIATES, LLC
Practice Location Address:

2935 BRECKENRIDGE LN STE 101
LOUISVILLE, KY
40220-1408

Practice Phone: 502-897-9594
Practice Fax: 502-896-1808

1013910678 — ROBIN B BIDEAU M.D.
Practice Location Address:

2307 GREENE WAY
LOUISVILLE, KY
40220-4009

Practice Phone: 502-897-9594
Practice Fax: 502-736-4456

1831192210 — EMMA CORONEL M.D.
Practice Location Address:

2307 GREENE WAY
LOUISVILLE, KY
40220-4009

Practice Phone: 502-897-9594
Practice Fax:

1821091273 — MICHAEL NOWACKI M.D.
Practice Location Address:

2307 GREENE WAY
LOUISVILLE, KY
40220-4009

Practice Phone: 502-897-9594
Practice Fax: 502-896-1808

Directions to “ SUSAN MARIE ELDER R.N.” 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 © 2007-2025 (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.