Nicholson, Susan Sanger

Nicholson, Susan Sanger is an individual health care provider with primary practice located at 2030 Mountain View Ave Suite 400, Longmont CO 80501-3182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicholson, Susan Sanger can be contacted via phone (303) 702-5910.

Contact Information

Primary practice address
2030 Mountain View Ave Suite 400 Longmont CO 80501-3182
Phone: (303) 702-5910
Fax: (303) 702-5935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5223 Colorado

Profile Details

NPI number 1558480756
LBN Legal business name Nicholson, Susan Sanger
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated May 22nd, 2014 - about 12 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 1558480756 NPPES
Colorado MEDICAID 03039277

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