Ott, Susan Mary
Ott, Susan Mary is an individual health care provider with primary practice located at 4800 Friendship Ave , Pittsburgh PA 15224-1722. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Ott, Susan Mary can be contacted via phone (412) 359-3030.Contact Information
Primary practice address
4800 Friendship Ave
Pittsburgh PA 15224-1722
Phone: (412) 359-3030
Fax: (412) 359-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP007734 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | SP007734 | Pennsylvania |
Profile Details
| NPI number | 1023152626 |
|---|---|
| LBN Legal business name | Ott, Susan Mary |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Oct 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023152626 | NPPES |
| Pennsylvania | MEDICAID | 103188610 |
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