Frady, Susan Katherine

Frady, Susan Katherine is an individual health care provider with primary practice located at 715 S 9Th St , Canon City CO 81212-4911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Frady, Susan Katherine can be contacted via phone (719) 269-8820.

Contact Information

Primary practice address
715 S 9Th St Canon City CO 81212-4911
Phone: (719) 269-8820
Fax: (719) 204-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10059 Colorado

Profile Details

NPI number 1083935001
LBN Legal business name Frady, Susan Katherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated Mar 29th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083935001 NPPES
Colorado MEDICAID 60539577

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