Passeretti, Susanne Marie
Passeretti, Susanne Marie is an individual health care provider with primary practice located at 1000 W Moreno St , Pensacola FL 32501-2316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Passeretti, Susanne Marie can be contacted via phone (850) 494-8024.Contact Information
Primary practice address
1000 W Moreno St
Pensacola FL 32501-2316
Phone: (850) 494-8024
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1793542 | Florida |
Profile Details
| NPI number | 1801886726 |
|---|---|
| LBN Legal business name | Passeretti, Susanne Marie |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2005 |
| Last updated | Jan 3rd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801886726 | NPPES |
| Florida | MEDICAID | 3055922-00 | |
| Florida | Other | P00131636 | |
| Florida | Other | Y026W | |
| Florida | Other | 590-88943 |
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