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Ms. Susan Ruth Waterbury, NP
Family Nurse Practitioner in Melbourne, Florida
NPI 1508824699

Susan Ruth Waterbury is a Family Nurse Practitioner based in Melbourne, FL and is specialized in Family. Susan Ruth Waterbury practices in Melbourne, FL and has the professional credentials of NP. The NPI Number for Susan Ruth Waterbury is 1508824699 and holds a License No. 314100168 (Florida).

The current practice location address for Susan Ruth Waterbury is 1495 N Harbor City Blvd, Melbourne, FL and can be reached out via phone at 321-253-0846 and via fax at 321-253-1004.

Location: 1495 N Harbor City Blvd, Melbourne, FL, 32935-6572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508824699
Provider Name
Susan Ruth Waterbury
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1495 N Harbor City Blvd, Melbourne, FL, 32935-6572
Phone Number
321-253-0846
Fax Number
321-253-1004
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303783500 05 FL
institution
Provider Business Practice Location Address Details
Address
1495 N Harbor City Blvd
City
Melbourne
State
Florida
Zip
32935-6572
Phone Number
321-253-0846
Fax Number
321-253-1004
person
Provider Business Mailing Address Details
Address
1495 N Harbor City Blvd
City
Melbourne
State
Florida
Zip
32935-6572
Phone Number
321-253-0846
Fax Number
321-253-1004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0001251055 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
314100168 (Florida)
Definition
Definition to come...
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