Individual
MS. SUSAN DIANE NITSCHKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP,RN,MSN,CS,CASAC
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-5696
Mailing address
213 NORTH ST, APT. 8, HORSEHEADS, NY 14845-2166
(607) 739-1697
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400394
NY
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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