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Individual
SUSAN J ADRIAN
Active
Individual
SUSAN J ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN150849
OH
363LF0000X
Family Nurse Practitioner
Primary
NP00603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286657
ANTHEM BCBS
—
01
—
141867207028
CARESOURCE
OH
05
—
2119764
—
OH
01
—
P00354251
RRM
OH
Enumeration date
03/22/2006
Last updated
05/24/2010
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