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Individual

DR. SUSIE M DITSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13861 OLIO RD, FISHERS, IN 46037-3487
(317) 338-7136
Mailing address
13861 OLIO RD, FISHERS, IN 46037-3487

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28228872A
IN
363LA2100X
Acute Care Nurse Practitioner
28228872A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71015401A
IN

Other

Enumeration date
05/01/2024
Last updated
08/21/2024
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