Individual
MS. SUSAN AYERSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, CCN
Contact information
Practice address
10980 E SCOPA TRL STE 3100, SCOTTSDALE, AZ 85262-3597
(480) 466-8887
Mailing address
10980 E SCOPA TRL, SCOTTSDALE, AZ 85262-3597
(480) 466-8887
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707091
—
AZ
Enumeration date
12/10/2009
Last updated
01/18/2022
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