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Marisue Susman, NP
Pediatric Nurse Practitioner in Meridian, Idaho
NPI 1205124377

Marisue Susman is a Pediatric Nurse Practitioner based in Boise, ID and is specialized in Pediatrics. Marisue Susman practices in Meridian, ID and has the professional credentials of NP. The NPI Number for Marisue Susman is 1205124377 and holds a License No. NP-1488A (Idaho).

The current practice location address for Marisue Susman is 1620 S Celebration Ave, Meridian, ID and can be reached out via phone at 208-884-1030 and via fax at 208-884-3058.

Location: 1620 S Celebration Ave, Meridian, ID, 83712-6241
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Provider Profile Details
NPI Number
1205124377
Provider Name
Marisue Susman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1620 S Celebration Ave, Meridian, ID, 83712-6241
Phone Number
208-884-1030
Fax Number
208-884-3058
Provider Enumeration Date
07/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1620 S Celebration Ave
City
State
Zip
83642-2779
Phone Number
208-884-1030
Fax Number
208-884-3058
person
Provider Business Mailing Address Details
Address
1620 S Celebration Ave
City
State
Zip
83642-2779
Phone Number
208-884-1030
Fax Number
208-884-3058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
NP-1488A (Idaho)
Definition
Definition to come...
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