Individual
SUSAN RAE PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 E JAMES LEE BLVD, CRESTVIEW, FL 32539-3126
(850) 689-5764
Mailing address
6192 BRIGHTON LN, MILTON, FL 32570-7789
(850) 712-2484
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
9207254
FL
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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