Mcmullen, Susan

Mcmullen, Susan is an individual health care provider with primary practice located at 8950 W Emerald Ste 168 , Boise ID 83704. 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. Mcmullen, Susan can be contacted via phone (208) 323-6273.

Contact Information

Primary practice address
8950 W Emerald Ste 168 Boise ID 83704
Phone: (208) 323-6273
Fax: (208) 323-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP715A Idaho

Profile Details

NPI number 1932160447
LBN Legal business name Mcmullen, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1932160447 NPPES
Idaho Other NPXB9 BLUE CROSS
Idaho Other 000010152154 BLUE CROSS

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