Doctor Name: | MS. SUSAN MILDRED FIX |
NPI Number: | 1750728135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BS CDE |
License Number: | 098902 |
Business Practice Address: | 9440 Bucher Rd Whitehouse, OH - 435719461 |
Business Phone Number: | 4197401294 |
Business Fax Number: | 8883633695 |
Mailing Address: | 4235 Secor Rd, TOLEDO |
State: | OH |
Postal Code: | 436234231 |
Phone Number: | 4197401294 |
Fax Number: | 8883633695 |
NPI Enumeration Date: | 05/27/2013 |
NPI Last Update Date: | 05/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 098902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |