Susan A Kim, NP
Nurse Practitioner, Acute Care in Worcester, Massachusetts
1568710523- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-3206
- Fax
- 774-442-4668
- Last updated
- March 21, 2022
Susan Anjeen Kim is a Nurse Practitioner, Acute Care based in Worcester, MA. Susan Anjeen Kim practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Susan Anjeen Kim is 1568710523 and holds a License No. RN2260046 (MA). The current practice location address for Susan Anjeen Kim is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-3206 and via fax at 774-442-4668.
Provider Profile Details
- NPI Number
- 1568710523
- Provider Name
- Susan Anjeen Kim
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-3206
- Fax Number
- 774-442-4668
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 24, 2012
- Last Update Date
- March 21, 2022
- Certification Date
- March 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-3206
- Fax Number
- 774-442-4668
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- RN2260046
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
- License Number (2)
- RN2260046
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Acute Care providers near Worcester, MA
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Frequently Asked Questions
What is the NPI number of Susan A Kim, NP?
The NPI number of Susan A Kim, NP is 1568710523. It was assigned on August 24, 2012 and is currently active in the NPPES registry.
What is the specialty of Susan A Kim, NP?
Susan A Kim, NP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in MA under license number RN2260046.
Where does Susan A Kim, NP practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-3206 (phone) or 774-442-4668 (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 1568710523 directly on the NPPES registry website.