Waid, Susan Jenney

Waid, Susan Jenney is an individual health care provider with primary practice located at 1514 1St St N , Winter Haven FL 33881-2476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Waid, Susan Jenney can be contacted via phone (863) 292-4280.

Contact Information

Primary practice address
1514 1St St N Winter Haven FL 33881-2476
Phone: (863) 292-4280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9383906 Florida

Profile Details

NPI number 1588830764
LBN Legal business name Waid, Susan Jenney
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588830764 NPPES
Florida MEDICAID 017613100

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