MRS. SUSAN WILKE KEARNEY C.P.N.P. NPI 1104891266

NPI Information

NPI: 1104891266
Provider Name: MRS. SUSAN WILKE KEARNEY, C.P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
294 N MAIN ST
SUITE 101
EAST LONGMEADOW, MA
ZIP 01028
Phone: (413) 525-1870
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MRS. Susan Wilke Kearney, C.P.N.P. is a pediatrics nurse practitioner in East Longmeadow, MA. MRS. Susan Wilke Kearney, C.P.N.P. NPI is 1104891266. 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:

294 N MAIN ST
SUITE 101
EAST LONGMEADOW, MA
ZIP 01028-838
Phone: (413) 525-1870
Fax: (413) 525-3883

The enumeration date for this NPI number is 2/22/2006 and was last updated on 3/9/2012.

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	363LP0200X	Nurse Practitioner	Pediatrics	160006	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P12151	MEDICARE UPIN
2	9732314	MEDICAID	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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