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NPI Code Detail

MEDICARE: MS. SUSANNAH LYNN KERWIN ANP-BC

MEDICARE: MS. SUSANNAH LYNN KERWIN ANP-BC
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
1363LA2200XAdult Health Nurse PractitionerF305433-1NY

General Provider Information

NPI Number : 1609183342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSANNAH LYNN KERWIN ANP-BC
Provider Business Mailing Address
First Line : 50 S STEELE ST STE 950
Second Line :
City : DENVER
State : CO
Zip : 80209-2843
Country : US
Telephone Number : 347-450-5892
Fax Number : 347-321-7589
Provider Business Practice Location Address
First Line : 50 S STEELE ST STE 950
Second Line :
City : DENVER
State : CO
Zip : 80209-2843
Country : US
Telephone Number : 347-450-5892
Fax Number : 347-321-7589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 08/19/2022

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