Individual
INNA SUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
(800) 561-0861
Mailing address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ14907500
NJ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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