Active NPIIndividual provider

Mrs. Susan W Kearney, CPNP

Nurse Practitioner, Pediatrics in East Longmeadow, Massachusetts

NPI Number1104891266
Practice location
294 N Main St, Suite 101, East Longmeadow, MA 01028-1838
Fax
413-525-3883
Last updated
March 9, 2012

Susan Wilke Kearney is a Nurse Practitioner, Pediatrics based in East Longmeadow, MA. Susan Wilke Kearney practices in East Longmeadow, MA and has the professional credentials of CPNP. The NPI Number for Susan Wilke Kearney is 1104891266 and holds a License No. 160006 (MA). The current practice location address for Susan Wilke Kearney is 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838 and can be reached out via phone at 413-525-1870 and via fax at 413-525-3883.

Provider Profile Details

NPI Number
1104891266
Provider Name
Susan Wilke Kearney
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
294 N Main St, Suite 101, East Longmeadow, MA 01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2006
Last Update Date
March 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
Zip
01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
City
East Longmeadow
State
MA
Zip
01028-1838
Phone Number
413-525-1870
Fax Number
413-525-3883

License Information

License Number
160006
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Susan W Kearney, CPNP?

The NPI number of Mrs. Susan W Kearney, CPNP is 1104891266. It was assigned on February 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan W Kearney, CPNP?

Mrs. Susan W Kearney, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 160006.

Where does Mrs. Susan W Kearney, CPNP practice?

The practice location is 294 N Main St, Suite 101, East Longmeadow, MA 01028-1838. The office can be reached at 413-525-1870 (phone) or 413-525-3883 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104891266 directly on the NPPES registry website.

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