Individual
SUSANNA ELIZABETH PITRUZZELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6701 AIRPORT BLVD., B BLDG., T LEVEL, MOBILE, AL 36608-3764
(251) 625-6896
Mailing address
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526-9594
(251) 625-6896
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
1102256
AL
363LF0000X
Family Nurse Practitioner
Primary
1-102256
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I506543
MEDICARE PTAN
AL
05
—
130124
—
AL
05
—
212689
—
AL
01
—
P02453782
RAILROAD MEDICARE
AL
Enumeration date
02/04/2011
Last updated
02/23/2022
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