Maxcy, Susan J

Maxcy, Susan J is an individual health care provider with primary practice located at 3911 Avenue B Ste 1110 , Scottsbluff NE 69361-4617. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Maxcy, Susan J can be contacted via phone (308) 220-4303.

Contact Information

Primary practice address
3911 Avenue B Ste 1110 Scottsbluff NE 69361-4617
Phone: (308) 220-4303
Fax: (308) 630-2139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 2061-0243 Nebraska
Nursing Service Providers / Registered Nurse 163W00000X 25917 Nebraska

Profile Details

NPI number 1831327733
LBN Legal business name Maxcy, Susan J
Credentials RN, BSN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Jun 30th, 2009 - 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 1831327733 NPPES
Nebraska MEDICAID 10025668100

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