Individual
MRS. SUSAN W SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8522
(813) 605-6167
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN1402992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008583600
—
FL
Enumeration date
02/21/2006
Last updated
12/31/2024
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