Individual
SUSAN E NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 SE THIRD STREET, SUITE 500, EVANSVILLE, IN 47708-1421
(812) 473-0181
(812) 473-5822
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01048673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065568
BC
IL
01
—
050062121
RAILROAD MEDICARE
IN
05
—
200182610
—
IN
Enumeration date
10/19/2005
Last updated
08/17/2010
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