SUE ANN FASSETT, N.P. - NPI NUMBER 1790842573

Summary

Provider Name: SUE ANN FASSETT, N.P.

NPI Number: 1790842573

Clasification: Nurse Practitioner (363L00000X)

Address:
1 ATWELL RD
COOPERSTOWN, NY
ZIP 13326

Phone Number: (607) 547-3909



Detailed Information

Sue Ann Fassett, N.P. is a nurse practitioner in Cooperstown, NY. The provider is (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. The assigned NPI number for this provider is 1790842573 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1 ATWELL RD
COOPERSTOWN, NY
ZIP 13326-301
Phone: (607) 547-3909
Fax: (607) 547-6325

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

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 363L00000X Nurse Practitioner 381336 NY Yes

NPI Record

No. Field Name Field Value
1 NPI 1790842573
2 Entity Type Code 1
3 Provider Last Name Legal Name FASSETT
4 Provider First Name SUE
5 Provider Middle Name ANN
6 Provider Credential Text N.P.
7 Provider First Line Business Practice Location Address 1 ATWELL RD
8 Provider Business Practice Location Address City Name COOPERSTOWN
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 133261301
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6075473909
13 Provider Business Practice Location Address Fax Number 6075476325
14 Provider Enumeration Date 1/2/2007
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 363L00000X
18 Provider License Number 1 381336
19 Provider License Number State Code 1 NY
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.