Sansom, Susan
Sansom, Susan is an sole proprietor health care provider with primary practice located at 360 E Montvue Dr Ste 100 , Meridian ID 83642-6318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sansom, Susan can be contacted via phone (208) 855-2900.Contact Information
Primary practice address
360 E Montvue Dr Ste 100
Meridian ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 855-2911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 54528 | Idaho |
Profile Details
| NPI number | 1538611397 |
|---|---|
| LBN Legal business name | Sansom, Susan |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Oct 27th, 2016 - about 10 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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