Hildebrandt, Susan Eileen

Hildebrandt, Susan Eileen is an individual health care provider with primary practice located at 26800 S Tamiami Trl Ste 340 , Bonita Springs FL 34134-4355. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hildebrandt, Susan Eileen can be contacted via phone (239) 495-4490.

Contact Information

Primary practice address
26800 S Tamiami Trl Ste 340 Bonita Springs FL 34134-4355
Phone: (239) 495-4490
Fax: (239) 495-4491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1026A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11003353 Florida

Profile Details

NPI number 1205138948
LBN Legal business name Hildebrandt, Susan Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Apr 21st, 2021 - about 5 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 1205138948 NPPES
Florida MEDICAID 104641500

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