SUSAN ANTHONY FNP NPI 1053328666

NPI Information

NPI: 1053328666
Provider Name: SUSAN ANTHONY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3805 22ND ST STE A
LUBBOCK, TX
ZIP 79410
Phone: (806) 771-5882
Get Directions

Susan Anthony, FNP is a family nurse practitioner in Lubbock, TX. Susan Anthony, FNP NPI is 1053328666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3805 22ND ST STE A
LUBBOCK, TX
ZIP 79410-142
Phone: (806) 771-5882
Fax: (806) 687-9002

The enumeration date for this NPI number is 8/3/2006 and was last updated on 2/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	646591	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q32093	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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