Individual
GABRIEL WILLIAM SUSEN
Active
Individual
GABRIEL WILLIAM SUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95271729
CA
163W00000X
Registered Nurse
RN74008
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP251557
ME
Other
Enumeration date
05/15/2025
Last updated
12/22/2025
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