Doctor Name: | SUSAN AKBERZIE |
NPI Number: | 1003280686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | APRN 129235 |
Business Practice Address: | 2985 S State Highway 360 Ste 140 Grand Prairie, TX - 750527680 |
Business Phone Number: | 9726021166 |
Business Fax Number: | |
Mailing Address: | 2985 S State Highway 360 Ste 140, GRAND PRAIRIE |
State: | TX |
Postal Code: | 750527680 |
Phone Number: | 9726021166 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | APRN 129235 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |