Izzo, Susan Charmaine

Izzo, Susan Charmaine is an individual health care provider with primary practice located at 520 Hartford Tpke Suite N, Vernon CT 06066-5037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Izzo, Susan Charmaine can be contacted via phone (860) 872-8321.

Contact Information

Primary practice address
520 Hartford Tpke Suite N Vernon CT 06066-5037
Phone: (860) 872-8321
Fax: (860) 875-6271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003300 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003300 Connecticut

Profile Details

NPI number 1881644631
LBN Legal business name Izzo, Susan Charmaine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 28th, 2010 - about 16 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 1881644631 NPPES
Connecticut MEDICAID 004261062

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