Puckett, Susan

Puckett, Susan is an individual health care provider with primary practice located at 2750 Broadway St , Boulder CO 80304-3573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Puckett, Susan can be contacted via phone (303) 440-3000.

Contact Information

Primary practice address
2750 Broadway St Boulder CO 80304-3573
Phone: (303) 440-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 954 Colorado

Profile Details

NPI number 1972588358
LBN Legal business name Puckett, Susan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Apr 15th, 2021 - about 4 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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