MS. SUSAN LOUSIE DILLON NURSE PRACTIOTIONER NPI 1063527877

NPI Information

NPI: 1063527877
Provider Name: MS. SUSAN LOUSIE DILLON, NURSE PRACTIOTIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
4646 JOHN R ST
DETROIT, MI
ZIP 48201
Phone: (313) 576-1000
Get Directions

MS. Susan Lousie Dillon, NURSE PRACTIOTIONER is an adult health nurse practitioner in Detroit, MI. MS. Susan Lousie Dillon, NURSE PRACTIOTIONER NPI is 1063527877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4646 JOHN R ST
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-1000

The NPI 1063527877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704110282	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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