Page, Suzan
Page, Suzan is an individual health care provider with primary practice located at 1 Professional Park Dr Ste 21 , Johnson City TN 37604-6909. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Page, Suzan can be contacted via phone (423) 232-6900.Contact Information
Primary practice address
1 Professional Park Dr Ste 21
Johnson City TN 37604-6909
Phone: (423) 232-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APN.0993052.NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5012981 | North Carolina |
Profile Details
| NPI number | 1740716927 |
|---|---|
| LBN Legal business name | Page, Suzan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2017 |
| Last updated | Jan 17th, 2024 - about 2 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 | 1740716927 | NPPES |
| North Carolina | MEDICAID | 1740716927 |
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