Diagana, Susan Clare
Diagana, Susan Clare is an individual health care provider with primary practice located at 309 West Ave , North Augusta SC 29841-3800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Diagana, Susan Clare can be contacted via phone (706) 396-3570.Contact Information
Primary practice address
309 West Ave
North Augusta SC 29841-3800
Phone: (706) 396-3570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27305 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002324 | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 27305 | Georgia |
Profile Details
| NPI number | 1396899076 |
|---|---|
| LBN Legal business name | Diagana, Susan Clare |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | May 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396899076 | NPPES |
| Indiana | MEDICAID | 200848040 |
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