Individual
MS. SUSAN A. SMITH
Active
Individual
MS. SUSAN A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0651332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0651332
LICENSE
MI
01
—
1750472734
GROUP NPI NUMBER
MI
01
—
381916607
TAX ID
MI
01
—
CW405106
SUPERVISOR WILMANSKI
MI
Enumeration date
11/07/2006
Last updated
11/27/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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