| Doctor Name: | SUSAN ANDERSON |
| NPI Number: | 1154795607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 26NR15594400 |
| Business Practice Address: | 85 Countryside Dr Basking Ridge, NJ - 079202033 |
| Business Phone Number: | 7186661342 |
| Business Fax Number: | |
| Mailing Address: | 85 Countryside Dr, BASKING RIDGE |
| State: | NJ |
| Postal Code: | 079202033 |
| Phone Number: | 7186661342 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2015 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 26NR15594400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |