Individual
SUSAN R DEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
50 S BELCHER RD STE 124, CLEARWATER, FL 33765-3903
(727) 560-6103
Mailing address
50 S BELCHER RD STE 124, CLEARWATER, FL 33765-3903
(727) 560-6103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9193476
FL
Other
Enumeration date
09/29/2017
Last updated
08/19/2024
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