Individual
SUSAN L. NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-5677
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-5677
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
593654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8674
AMERICAN MIDWIFERY CERTIF
TX
Enumeration date
08/20/2006
Last updated
08/14/2009
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