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Individual
SUE A STUCKER
Active
Individual
SUE A STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
534902-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F338786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534902-1
RN
NY
01
—
F338786
NP
NY
Enumeration date
11/19/2012
Last updated
12/17/2014
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