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NPI Code Detail

MEDICARE: MS. SUSAN M THUL ARNP, CNM

MEDICARE: MS. SUSAN M THUL ARNP, CNM
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
1367A00000XAdvanced Practice Midwife352555FL

General Provider Information

NPI Number : 1598894362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN M THUL ARNP, CNM
Provider Business Mailing Address
First Line : 714 AVENUE C
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4189
Country : US
Telephone Number : 772-462-3800
Fax Number :
Provider Business Practice Location Address
First Line : 714 AVENUE C
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4189
Country : US
Telephone Number : 772-462-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 01/29/2009

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