Doctor Name: | SUSAN MARY ALBRIGHT |
NPI Number: | 1154354306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.P. |
License Number: | AP2130 |
Business Practice Address: | 203 S Candy Ln Suite 1a Cottonwood, AZ - 863264120 |
Business Phone Number: | 9286491389 |
Business Fax Number: | |
Mailing Address: | 203 S Candy Ln Ste 1a, COTTONWOOD |
State: | AZ |
Postal Code: | 863268104 |
Phone Number: | 9286491389 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP2130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |