SUSAN M. LIEBHERR ANP NPI 1093774945

NPI Information

NPI: 1093774945
Provider Name: SUSAN M. LIEBHERR, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-5407
Get Directions

Susan M. Liebherr, ANP is an adult health nurse practitioner in Phoenix, AZ. Susan M. Liebherr, ANP NPI is 1093774945. 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:

2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008-973
Phone: (602) 344-5407

The NPI 1093774945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 9/15/2011.

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	363LA2200X	Nurse Practitioner	Adult Health	RN036063	ARIZONA	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
1	P50437	MEDICARE UPIN
2	637655	MEDICAID	ARIZONA
3	Z144600	MEDICARE PIN	ARIZONA
4	Z133941	MEDICARE PIN	ARIZONA

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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