Susan Thurston in Titusville - Physician Assistant

Susan Thurston - NPI 1982736120

Susan Thurston is a Physician Assistant in Titusville, Florida. Susan Thurston practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Thurston is 1982736120. The last update date is 2020-03-16.

Susan Thurston's current location address is 1855 Knox Mcrae Dr, Titusville, Florida. You can contact this provider via phone number 3212692028 and fax number 3212640730. The mailing address for Susan Thurston is 1855 Knox Mcrae Dr, Titusville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Thurston
Address 1855 Knox Mcrae Dr, Titusville, Florida
Phone Number 3212692028
Fax Number 3212640730
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1982736120
Provider Enumeration Date 2007-03-12
Last Updated Date 2020-03-16

Provider Mailing Address Detail

Address 1855 Knox Mcrae Dr
City Titusville
State Florida (FL)
Post Code 327805492
Phone Number 3212692028
Fax Number 3212640730

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA2469
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PENDING FL --

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FAQs about Susan Thurston

What is the Susan Thurston's 1982736120?

The Susan Thurston's NPI (National Provider Identifier) Number is 1982736120. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan Thurston is physically located?

The Susan Thurston is situated at the following address: 1855 Knox Mcrae Dr, Titusville, FL 327805492.

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

The Susan Thurston's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When did the Susan Thurston receive its 1982736120?

The Susan Thurston was issued its 1982736120 on 2007-03-12, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Susan Thurston, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Susan Thurston, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-03-16.

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