Active NPIIndividual provider

Susan W Ettinger, MSN, NPC

Nurse Practitioner in Lutherville Timonium, Maryland

NPI Number1144325275
Practice location
2360 W Joppa RD, Lutherville Timonium, MD 21093-4624
Fax
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Last updated
February 5, 2024

Susan W Ettinger is a Nurse Practitioner based in Lutherville Timonium, MD. Susan W Ettinger practices in Lutherville Timonium, MD and has the professional credentials of MSN, NPC. The NPI Number for Susan W Ettinger is 1144325275 and holds a License No. 279604 (MA). The current practice location address for Susan W Ettinger is 2360 W Joppa RD, Lutherville Timonium, MD 21093-4624 and can be reached out via phone at 410-847-3535.

Provider Profile Details

NPI Number
1144325275
Provider Name
Susan W Ettinger
Credential
MSN, NPC
Provider Entity Type
Individual
Gender
Female
Address
2360 W Joppa RD, Lutherville Timonium, MD 21093-4624
Phone Number
410-847-3535
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2006
Last Update Date
February 5, 2024
Certification Date
February 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2360 W Joppa RD
Lutherville Timonium, MD 21093-4624
Zip
21093-4624
Phone Number
410-847-3535
Lutherville Timonium, MD 21093Get directions →

Provider Business Mailing Address Details

Address
6201 Greenleigh Ave
Middle River, MD 21220-2004
City
Middle River
State
MD
Zip
21220-2004
Phone Number
410-933-5412

License Information

License Number (1)
279604
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
R078653
License State (2)
MD
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Susan W Ettinger, MSN, NPC?

The NPI number of Susan W Ettinger, MSN, NPC is 1144325275. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan W Ettinger, MSN, NPC?

Susan W Ettinger, MSN, NPC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 279604.

Where does Susan W Ettinger, MSN, NPC practice?

The practice location is 2360 W Joppa RD, Lutherville Timonium, MD 21093-4624. The office can be reached at 410-847-3535 (phone).

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 1144325275 directly on the NPPES registry website.

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