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Individual
SUZIE MCCANN
Active
Individual
SUZIE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110907
NE
363L00000X
Nurse Practitioner
A098483
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443358
—
IA
05
—
100251147-00
—
NE
Enumeration date
05/12/2006
Last updated
01/04/2024
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