Individual
SUSAN SCHUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5580 W FLAMINGO RD, LAS VEGAS, NV 89103-0111
(702) 854-3160
(702) 854-3211
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 854-3160
(702) 854-3211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00714
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912978107
—
NV
01
—
2402226
MEDICAID
NV
05
—
3102226
—
NV
Enumeration date
01/27/2006
Last updated
01/18/2017
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