Susan Ann Demeulenaere in Port Huron - Nurse Practitioner
Susan Ann Demeulenaere - NPI 1689662272
Susan Ann Demeulenaere is a Nurse Practitioner in Port Huron, Michigan. Susan Ann Demeulenaere practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Ann Demeulenaere is 1689662272. The last update date is 2016-01-20.
Susan Ann Demeulenaere's current location address is 2601 Electric Ave, Port Huron, Michigan. You can contact this provider via phone number 8109851819 and fax number 8109841160. The mailing address for Susan Ann Demeulenaere is 2601 Electric Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ann Demeulenaere |
|---|---|
| Address | 2601 Electric Ave, Port Huron, Michigan |
| Phone Number | 8109851819 |
| Fax Number | 8109841160 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1689662272 |
|---|---|
| Provider Enumeration Date | 2005-10-09 |
| Last Updated Date | 2016-01-20 |
Provider Mailing Address Detail
| Address | 2601 Electric Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480606587 |
| Phone Number | 8109851819 |
| Fax Number | 8109841160 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704190745 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique provider identifier assigned to Susan Ann Demeulenaere?
The Susan Ann Demeulenaere has been issued the NPI (National Provider Identifier) 1689662272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Susan Ann Demeulenaere's facilities are situated?
The facilities of Susan Ann Demeulenaere are physically located at the following address: 2601 Electric Ave, Port Huron, MI, 480606587.
What is Susan Ann Demeulenaere's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Ann Demeulenaere is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Susan Ann Demeulenaere receive its 1689662272 assignment from the Centers for Medicare & Medicaid Services?
The Susan Ann Demeulenaere was assigned its 1689662272 by the Centers for Medicare & Medicaid Services on 2005-10-09.
When was the Susan Ann Demeulenaere's information last updated?
The Susan Ann Demeulenaere's information was last updated on 2016-01-20.
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