Doctor Name: | SUSAN MADELEINE GUERRA |
NPI Number: | 1003021700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F330822 |
Business Practice Address: | 2106 New Rd Suite D4 Linwood, NJ - 082211046 |
Business Phone Number: | 6099268899 |
Business Fax Number: | |
Mailing Address: | 11 Campbell Woods Way, PRINCETON |
State: | NJ |
Postal Code: | 085401949 |
Phone Number: | 8453040245 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F330822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |