Doctor Name: | SUSAN BAROUDY |
NPI Number: | 1053528240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PN 1161581 |
Business Practice Address: | 139 Mockingbird Ave Fort Pierce, FL - 349826375 |
Business Phone Number: | 7725283849 |
Business Fax Number: | |
Mailing Address: | 139 Mockingbird Ave, FORT PIERCE |
State: | FL |
Postal Code: | 349826375 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251J00000X |
License Number: | PN 1161581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Nursing Care |
Taxonomy Specialization: | |
Taxonomy Definition: | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |