Susan Ellen Ross is a Family in Fort Worth, Texas. Susan Ellen Ross practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Ellen Ross is 1700032026. The last update date is 2013-09-23.
Susan Ellen Ross's current location address is 709 W Leuda St, Fort Worth, Texas. You can contact this provider via phone number 8179262511 and fax number 8179240167. The mailing address for Susan Ellen Ross is 709 W Leuda St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ellen Ross |
|---|---|
| Address | 709 W Leuda St, Fort Worth, Texas |
| Phone Number | 8179262511 |
| Fax Number | 8179240167 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1700032026 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2013-09-23 |
Provider Mailing Address Detail
| Address | 709 W Leuda St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761043115 |
| Phone Number | 8179262511 |
| Fax Number | 8179240167 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 612494 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the Susan Ellen Ross's 1700032026?
The Susan Ellen Ross's NPI (National Provider Identifier) Number is 1700032026. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan Ellen Ross is physically located?
The Susan Ellen Ross is physically situated at the following address: 709 W Leuda St, Fort Worth, TX, 761043115.
What is Susan Ellen Ross's area of expertise and its corresponding taxonomy classification?
The Susan Ellen Ross's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1700032026 to Susan Ellen Ross?
The Susan Ellen Ross received its 1700032026 assignment from the Centers for Medicare & Medicaid Services on 2008-08-18.
As of what date were the Susan Ellen Ross's details last updated?
The information pertaining to the Susan Ellen Ross, including its address, specialty, and other details, was most recently updated on 2013-09-23.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC