Individual
MS. SUSAN SAMANTHA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P., C.N.M.
Contact information
Practice address
1900 S TUTTLE AVE, SARASOTA, FL 34239-3114
(941) 330-8885
(941) 906-8774
Mailing address
1900 S TUTTLE AVE, SARASOTA, FL 34239-3114
(941) 330-8885
(239) 906-8774
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP 9214701
FL
367A00000X
Advanced Practice Midwife
Primary
ARPN9214701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064565 00
—
FL
Enumeration date
06/17/2005
Last updated
10/30/2018
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