Susan Renee Carlson in Grand Prairie - Nurse Practitioner
Susan Renee Carlson - NPI 1043266711
Susan Renee Carlson is a Nurse Practitioner in Grand Prairie, Texas. Susan Renee Carlson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Renee Carlson is 1043266711. The last update date is 2010-02-23.
Susan Renee Carlson's current location address is 2740 N Hwy 360, Grand Prairie, Texas. You can contact this provider via phone number 9726068300 and fax number 9726064940. The mailing address for Susan Renee Carlson is 2740 N Hwy 360, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Renee Carlson |
|---|---|
| Address | 2740 N Hwy 360, Grand Prairie, Texas |
| Phone Number | 9726068300 |
| Fax Number | 9726064940 |
| Sole Proprietor | N |
| Credentials | MSN, ANP |
NPI Number Detail
| NPI Number | 1043266711 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2010-02-23 |
Provider Mailing Address Detail
| Address | 2740 N Hwy 360 |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750506403 |
| Phone Number | 9726068300 |
| Fax Number | 9726064940 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 565581 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156976601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Renee Carlson by the Centers for Medicare & Medicaid Services?
The Susan Renee Carlson has been issued the NPI (National Provider Identifier) 1043266711 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Susan Renee Carlson's physical address?
The Susan Renee Carlson is physically located at 2740 N Hwy 360, in the city of Grand Prairie, TX, with the postal code 750506403.
What is the Susan Renee Carlson's area of specialization and corresponding taxonomy classification?
The Susan Renee Carlson's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Susan Renee Carlson receive its 1043266711 assignment from the Centers for Medicare & Medicaid Services?
The Susan Renee Carlson was assigned its 1043266711 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information regarding Susan Renee Carlson most recently updated?
The details pertaining to the Susan Renee Carlson, including its address, specialty, and other relevant information, were last refreshed on 2010-02-23.