# SUSAN DEPASQUALE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063827202
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 55604 | WY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 9727-33 | WI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61020360 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NUR-APRN-LIC-100393 | MT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NUR-RN-LIC-25607 | MT | — |

## Other

- **Enumeration date:** 06/26/2014
- **Last updated:** 04/24/2026