Warner-Oberwortmann, Susan J

Warner-Oberwortmann, Susan J is an individual health care provider with primary practice located at 100 William Northern Blvd , Tullahoma TN 37388-4754. 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. Warner-Oberwortmann, Susan J can be contacted via phone (931) 454-0489.

Contact Information

Primary practice address
100 William Northern Blvd Tullahoma TN 37388-4754
Phone: (931) 454-0489
Fax: (931) 454-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN 06621 Tennessee

Profile Details

NPI number 1528164688
LBN Legal business name Warner-Oberwortmann, Susan J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 20th, 2013 - about 13 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 1528164688 NPPES
Tennessee MEDICAID 1511793

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