Individual
SUSANNA CLAIRE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
11504 RUNNING BRUSH LN, AUSTIN, TX 78717-4849
(512) 709-4080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
721960
TX
363LA2200X
Adult Health Nurse Practitioner
AP136143
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP136143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378953902
—
TX
Enumeration date
12/09/2017
Last updated
11/05/2024
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