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MRS. SUSAN WARD NP-C NPI 1023303260

NPI Profile

NPI: 1023303260

Provider Name: MRS. SUSAN WARD, NP-C

Classification: Nurse Practitioner (363LF0000X)

Entity Type: Individual

Specialization: Family

Address:
1906 AUTUMN GLEN CIR
VICTOR, ID
ZIP 83455

Phone: (208) 201-4774

MRS. Susan Ward, NP-C is a family nurse practitioner in Victor, ID. MRS. Susan Ward, NP-C NPI is 1023303260. 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:

1906 AUTUMN GLEN CIR
VICTOR, ID
ZIP 83455-629
Phone: (208) 201-4774

The enumeration date for this NPI number is 6/16/2011 and was last updated on 6/24/2011.

Map - Location of Practice

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 363LF0000X Nurse Practitioner Family 20778.1114 WYOMING No
2 363LF0000X Nurse Practitioner Family NP-1071A IDAHO 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: 5/13/2015