Individual
SUSAN ELLEN THORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6420 W NEWBERRY RD, EAST WING, SUITE 100, GAINESVILLE, FL 32605-4308
(352) 332-3900
(352) 332-5009
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9246704
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9246704
FL
363LF0000X
Family Nurse Practitioner
9246704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111061900
—
FL
Enumeration date
04/07/2010
Last updated
05/15/2025
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