Doctor Name: | MRS. SUSAN M MCGINNESS |
NPI Number: | 1043338262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2041492 |
Business Practice Address: | 1951 Sw 172nd Ave Suite 309 Miramar, FL - 330295593 |
Business Phone Number: | 9544472704 |
Business Fax Number: | 9544472708 |
Mailing Address: | 2663 Irma Lake Drive, WEST PALM BEACH |
State: | FL |
Postal Code: | 33411 |
Phone Number: | 9544472704 |
Fax Number: | 9544472708 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2041492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |