Doctor Name: | MS. SUSANNE GERALDINE PREISLER |
NPI Number: | 1275508905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 850562 |
Business Practice Address: | 5201 Raymond St Orlando, FL - 328038208 |
Business Phone Number: | 4075991599 |
Business Fax Number: | |
Mailing Address: | 1429 Stormway Ct, APOPKA |
State: | FL |
Postal Code: | 327122027 |
Phone Number: | 4075991425 |
Fax Number: | 4075991583 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 850562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |