Susen Deanne Mccleery-Derric in Frisco - Nurse Practitioner

Susen Deanne Mccleery-Derric - NPI 1811089899

Susen Deanne Mccleery-Derric is a Nurse Practitioner in Frisco, Texas. Susen Deanne Mccleery-Derric practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susen Deanne Mccleery-Derric is 1811089899. The last update date is 2016-08-02.

Susen Deanne Mccleery-Derric's current location address is 6065 Sports Village Rd, Frisco, Texas. You can contact this provider via phone number 2147057390 and fax number 2147057393. The mailing address for Susen Deanne Mccleery-Derric is 6065 Sports Village Rd, Frisco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Susen Deanne Mccleery-Derric
Address 6065 Sports Village Rd, Frisco, Texas
Phone Number 2147057390
Fax Number 2147057393
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1811089899
Provider Enumeration Date 2006-09-28
Last Updated Date 2016-08-02

Provider Mailing Address Detail

Address 6065 Sports Village Rd
City Frisco
State Texas (TX)
Post Code 750333523
Phone Number 2147057390
Fax Number 2147057393

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No AP128464
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1568073 TX --

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FAQs about Susen Deanne Mccleery-Derric

What is the unique 10-digit identification code assigned to Susen Deanne Mccleery-Derric by the Centers for Medicare & Medicaid Services?

The Susen Deanne Mccleery-Derric has been issued the NPI (National Provider Identifier) 1811089899, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Susen Deanne Mccleery-Derric located?

The Susen Deanne Mccleery-Derric is located at 6065 Sports Village Rd, Frisco, TX 750333523.

What is Susen Deanne Mccleery-Derric's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susen Deanne Mccleery-Derric's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date was the 1811089899 assigned to Susen Deanne Mccleery-Derric?

The Susen Deanne Mccleery-Derric was issued its 1811089899 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Susen Deanne Mccleery-Derric most recently updated?

The details pertaining to the Susen Deanne Mccleery-Derric, including its address, specialty, and other relevant information, were last refreshed on 2016-08-02.

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