Susan Nicole Damico in Goodyear - Nurse Practitioner
Susan Nicole Damico - NPI 1508835059
Susan Nicole Damico is a Nurse Practitioner in Goodyear, Arizona. Susan Nicole Damico practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Nicole Damico is 1508835059. The last update date is 2016-03-15.
Susan Nicole Damico's current location address is 14200 W Celebrate Life Way, Goodyear, Arizona. You can contact this provider via phone number 6232073904. The mailing address for Susan Nicole Damico is 14200 W Celebrate Life Way, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Nicole Damico |
|---|---|
| Address | 14200 W Celebrate Life Way, Goodyear, Arizona |
| Phone Number | 6232073904 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1508835059 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2016-03-15 |
Provider Mailing Address Detail
| Address | 14200 W Celebrate Life Way |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853383007 |
| Phone Number | 6232073904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | SP006559B |
|
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 |
|---|---|---|---|
| 1932961 | NY | -- | |
| P00199366 | PA | RR MEDICARE PIN | |
| CC8362 | NY | RR MEDICARE GROUP | |
| CC9269 | PA | RR MEDICARE GROUP | |
| GU039841 | PA | MEDICARE GROUP | |
| 500014013 | NY | RR MEDICARE PIN |
Post Comment/ Review Below
What is the Susan Nicole Damico's 1508835059?
The Susan Nicole Damico's NPI (National Provider Identifier) Number is 1508835059. 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 Nicole Damico is physically located?
The Susan Nicole Damico is situated at the following address: 14200 W Celebrate Life Way, Goodyear, AZ 853383007.
What is Susan Nicole Damico'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 Nicole Damico is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508835059 to Susan Nicole Damico?
The Centers for Medicare & Medicaid Services originally issued the 1508835059 to Susan Nicole Damico on 2006-03-16.
As of what date was the information regarding Susan Nicole Damico, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Nicole Damico, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-15.
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