Marisue Susman, NP

NPI #1205124377 in Meridian, Idaho

Provider Information

NPI Number
1205124377
Entity Type
Individual
Name
Marisue Susman, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
NP
Enumeration Date
Jul 11, 2011
Last Updated
Oct 27, 2015

Practice Location

Address
1620 S CELEBRATION AVE
State
Idaho
ZIP Code
83642-2779
Phone
(208) 884-1030

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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