person
Susan Heather Lake, AGNP
Gerontology Nurse Practitioner in Trenton, New Jersey
NPI 1790255941

Susan Heather Lake is a Gerontology Nurse Practitioner based in Trenton, NJ and is specialized in Gerontology. Susan Heather Lake practices in Trenton, NJ and has the professional credentials of AGNP. The NPI Number for Susan Heather Lake is 1790255941 and holds a License No. 26NJ00877500 (New Jersey).

The current practice location address for Susan Heather Lake is 1618 Riverside Drive, Trenton, NJ and can be reached out via phone at 609-372-7754.

Location: 1618 Riverside Drive, Trenton, NJ, 08618
person
Provider Profile Details
NPI Number
1790255941
Provider Name
Susan Heather Lake
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
1618 Riverside Drive, Trenton, NJ, 08618
Phone Number
609-372-7754
Fax Number
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1618 Riverside Drive
City
State
Zip
08618
Phone Number
609-372-7754
Fax Number
person
Provider Business Mailing Address Details
Address
1618 Riverside Drive
City
State
Zip
08618
Phone Number
609-372-7754
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
26NJ00877500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
26NJ00877500 (New Jersey)
Definition
Definition to come...
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