Individual
SUSAN MARTHA SHEFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PNP-BC
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6340
(315) 464-6329
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6340
(315) 464-6329
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
244590
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
380967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02118312
—
NY
Enumeration date
09/14/2006
Last updated
09/14/2012
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