Mary Susan Shick in Bloomington - General Practice

Mary Susan Shick - NPI 1992733240

Mary Susan Shick is a General Practice in Bloomington, Indiana. Mary Susan Shick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Susan Shick is 1992733240. The last update date is 2020-12-21.

Mary Susan Shick's current location address is 421 W 1st St, Bloomington, Indiana. You can contact this provider via phone number 8123360168 and fax number 8123357372. The mailing address for Mary Susan Shick is 421 W 1st St, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Susan Shick
Address 421 W 1st St, Bloomington, Indiana
Phone Number 8123360168
Fax Number 8123357372
Sole Proprietor N
Credentials MSN, ANP

NPI Number Detail

NPI Number 1992733240
Provider Enumeration Date 2006-06-28
Last Updated Date 2020-12-21

Provider Mailing Address Detail

Address 421 W 1st St
City Bloomington
State Indiana (IN)
Post Code 474032403
Phone Number 8123360168
Fax Number 8123357372

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 163Wg0000X
Licence No 28090755A
Definition:
A registered nurse who provides general nursing care across health settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200076820A IN --

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FAQs about Mary Susan Shick

What is the Mary Susan Shick's unique identification number?

The Mary Susan Shick has been assigned the NPI (National Provider Identifier) Number 1992733240 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Mary Susan Shick is physically located?

The Mary Susan Shick is physically situated at the following address: 421 W 1St St, Bloomington, IN, 474032403.

What is Mary Susan Shick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Susan Shick's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 163Wg0000X.

When did Mary Susan Shick receive its 1992733240 assignment?

The Mary Susan Shick was assigned its 1992733240 on 2006-06-28, which is the date when this unique identifier was issued to the organization.

When was the information related to Mary Susan Shick most recently updated or refreshed?

The details pertaining to the Mary Susan Shick, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-21.

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