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Individual
SUSAN EZZI
Active
Individual
SUSAN EZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00617200
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00617200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00617200
NJ BOARD OF NURSING
NJ
01
—
26NO12373900
NJ BOARD OF NURSING
NJ
01
—
P00686400
NJ OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS CDS
NJ
Enumeration date
02/09/2016
Last updated
03/07/2023
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