Individual
SUZANNE MARIE LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2400 EAST 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5974
(812) 375-3203
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000983413
ANTHEM PIN
IN
05
—
201085490
—
IN
Enumeration date
01/27/2010
Last updated
09/06/2024
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