Individual
DR. SUSIE M DITSWORTH
Active
Individual
DR. SUSIE M DITSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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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