| Doctor Name: | MRS. SUSANNE T BAISCH |
| NPI Number: | 1912908344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN 2105 |
| Business Practice Address: | 1680b Ribaut Rd Port Royal, SC - 299352008 |
| Business Phone Number: | 8435219879 |
| Business Fax Number: | |
| Mailing Address: | 1109 Laurel St, PORT ROYAL |
| State: | SC |
| Postal Code: | 299351911 |
| Phone Number: | 8432712713 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN 2105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |