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Individual

MRS. SUSAN MICHELLE SHORT

Active
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Individual

MRS. SUSAN MICHELLE SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0040582
OH
363LF0000X
Family Nurse Practitioner
2025049885
MO
363LF0000X
Family Nurse Practitioner
4704434851
MI
363LF0000X
Family Nurse Practitioner
628756
TX
363LF0000X
Family Nurse Practitioner
Primary
AP115646
TX

Other

Enumeration date
10/14/2010
Last updated
12/15/2025
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