Doctor Name: | MRS. SUSAN H. AUSTEN |
NPI Number: | 1023025772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 001027 |
Business Practice Address: | 15 Mohegan Ave, New London, CT - 06320 |
Business Phone Number: | 8604373611 |
Business Fax Number: | 8604371801 |
Mailing Address: | 17 Hunting Ridge Farms, BRANFORD |
State: | CT |
Postal Code: | 064053128 |
Phone Number: | 2034815800 |
Fax Number: | 2084812814 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 001027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |