Individual
MRS. SUSAN J LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPN
Contact information
Practice address
24 HUNTERS RUN, BALLSTON LAKE, NY 12019-1050
(518) 899-4232
Mailing address
24 HUNTERS RUN, BALLSTON LAKE, NY 12019-1050
(518) 899-4232
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
360201-1
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
360201-1
NY
163WN0003X
Low-Risk Neonatal Registered Nurse
360201-1
NY
163WP0200X
Pediatric Registered Nurse
Primary
360201-1
NY
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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