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Sussan Lee Goldsworthy
Psychiatric/Mental Health Nurse Practitioner in Frederick, Maryland
NPI 1346843182

Sussan Lee Goldsworthy is a Psychiatric/Mental Health Nurse Practitioner based in Tucson, MD and is specialized in Psychiatric/Mental Health. Sussan Lee Goldsworthy practices in Frederick, MD. The NPI Number for Sussan Lee Goldsworthy is 1346843182 and holds a License No. 257763 (Maryland).

The current practice location address for Sussan Lee Goldsworthy is 6811 Ballenger Run Blvd, Frederick, MD and can be reached out via phone at 478-225-7590.

Location: 6811 Ballenger Run Blvd, Frederick, MD, 85707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346843182
Provider Name
Sussan Lee Goldsworthy
Credential
Provider Entity Type
Individual
Gender
Female
Address
6811 Ballenger Run Blvd, Frederick, MD, 85707
Phone Number
478-225-7590
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6811 Ballenger Run Blvd
City
Frederick
State
Maryland
Zip
21703
Phone Number
478-225-7590
Fax Number
person
Provider Business Mailing Address Details
Address
6811 Ballenger Run Blvd
City
Frederick
State
Maryland
Zip
21703
Phone Number
478-225-7590
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
257763 (Maryland)
Definition
Definition to come...
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