Stucker, Sue A

Stucker, Sue A is an individual health care provider with primary practice located at 182 Intrepid Ln , Syracuse NY 13205-2545. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stucker, Sue A can be contacted via phone (315) 218-7020.

Contact Information

Primary practice address
182 Intrepid Ln Syracuse NY 13205-2545
Phone: (315) 218-7020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 534902-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F338786 New York

Profile Details

NPI number 1346584034
LBN Legal business name Stucker, Sue A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Dec 17th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346584034 NPPES
New York Other 534902-1 RN
New York Other F338786 RN

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