Doctor Name: | SUSAN G SZCZESNY |
NPI Number: | 1023227048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC,NP |
License Number: | 4704101106 |
Business Practice Address: | 2428 Casmere St Apt 1b Hamtramck, MI - 482122968 |
Business Phone Number: | 3135204131 |
Business Fax Number: | |
Mailing Address: | 2428 Casmere St Apt 1b, HAMTRAMCK |
State: | MI |
Postal Code: | 482122968 |
Phone Number: | 3135204131 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 4704101106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |