Individual
RITA SUSEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3600 KOLBE RD STE 11, LORAIN, OH 44053-1652
(440) 222-4003
(440) 960-4922
Mailing address
3600 KOLBE RD STE 11, LORAIN, OH 44053-1652
(440) 222-4003
(440) 960-4922
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023200
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.023200
OH
Other
Enumeration date
01/18/2019
Last updated
07/24/2019
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