Harrison, Susan

Harrison, Susan is an individual health care provider with primary practice located at 1 Clara Maass Dr Ste 200 , Belleville NJ 07109-3550. 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. Harrison, Susan can be contacted via phone (973) 751-8880.

Contact Information

Primary practice address
1 Clara Maass Dr Ste 200 Belleville NJ 07109-3550
Phone: (973) 751-8880
Fax: (973) 751-8950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00001000 New Jersey

Profile Details

NPI number 1942286117
LBN Legal business name Harrison, Susan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 28th, 2020 - about 6 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 1942286117 NPPES
New Jersey Other 26NJ00001000 APN STATE LICENSE
New Jersey MEDICAID 0009440 APN STATE LICENSE

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