Susan Edge is a Family in Kirbyville, Texas. Susan Edge practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Edge is 1811947401. The last update date is 2013-04-11.
Susan Edge's current location address is 205 E Lavielle St, Kirbyville, Texas. You can contact this provider via phone number 4094232217. The mailing address for Susan Edge is 205 E Lavielle St, Kirbyville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Edge |
|---|---|
| Address | 205 E Lavielle St, Kirbyville, Texas |
| Phone Number | 4094232217 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN,FNP-C |
NPI Number Detail
| NPI Number | 1811947401 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2013-04-11 |
Provider Mailing Address Detail
| Address | 205 E Lavielle St |
|---|---|
| City | Kirbyville |
| State | Texas (TX) |
| Post Code | 7595621190 |
| Phone Number | 4094232217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 249269 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174741201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Edge by the Centers for Medicare & Medicaid Services?
The Susan Edge has been assigned the NPI (National Provider Identifier) 1811947401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Susan Edge is geographically located?
The Susan Edge is physically situated at the following location: 205 E Lavielle St, Kirbyville, TX, 7595621190.
What is Susan Edge'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 Edge is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811947401 to Susan Edge?
The Susan Edge received its 1811947401 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information regarding Susan Edge most recently updated?
The details pertaining to the Susan Edge, including its address, specialty, and other relevant information, were last refreshed on 2013-04-11.