# SUSAN L MAGADAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508929969
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 4103 | WI | — |
| 363A00000X | Physician Assistant | 5548 | AZ | — |
| 363A00000X | Physician Assistant | PA03559 | TX | — |
| 363L00000X | Nurse Practitioner | PA1953 | NV | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 04/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1508929969 | — | NV |
| 05 | — | 199127501 | — | TX |
| 05 | — | 901489 | — | AZ |
| 01 | — | PA1953 | STATE LICENSE | NV |