Individual
SUSAN MICHELLE BILBREY
Active
Individual
SUSAN MICHELLE BILBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001087A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71001087A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640300
ANTHEM PTAN
IN
01
—
000001469082
ANTHEM PTAN
IN
05
—
200854380
—
IN
Enumeration date
02/13/2007
Last updated
02/10/2025
Update your record
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