Individual
MS. SUSAN ANNE PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APNP, C-EFM
Contact information
Practice address
2020 MERIDIAN ST STE 220, ANDERSON, IN 46016-4338
(765) 683-3280
Mailing address
2020 MERIDIAN ST STE 220, ANDERSON, IN 46016-4338
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000218
IN
367A00000X
Advanced Practice Midwife
148804-032
WI
367A00000X
Advanced Practice Midwife
4704187048
MI
367A00000X
Advanced Practice Midwife
Primary
71004214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148804-32
LICENSE CNM
WI
01
—
156797
LICENSE RN
WI
01
—
208095165012
ANTHEM BXBS
WI
01
—
3131-33
LICENSE APNP
WI
05
—
36028100
—
WI
01
—
390848401050
ANTHEM BXBS
WI
Enumeration date
05/23/2005
Last updated
08/08/2022
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