SUSAN G VONDERHEIDE APRN PH.D. NPI 1265501605

NPI Information

NPI: 1265501605
Provider Name: SUSAN G VONDERHEIDE, APRN, PH.D.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: HARBOR HOMES, INC.

PECOS Registration: Yes

Address:
3B TAGGART DR
NASHUA, NH
ZIP 03060
Phone: (603) 891-1152
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Susan G Vonderheide, APRN, PH.D. is a psychiatric/mental health nurse practitioner in Nashua, NH with 39 years of experience. Susan G Vonderheide, APRN, PH.D. NPI is 1265501605. 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:

3B TAGGART DR
NASHUA, NH
ZIP 03060-592
Phone: (603) 891-1152
Fax: (603) 881-9744

The NPI 1265501605 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.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2014.

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	103TC0700X	Psychologist	Clinical	392	NEW HAMPSHIRE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	066468-23	NEW HAMPSHIRE	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	VORE3622	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE	MEDICARE ID NUMBER
2	3005954	MEDICAID	NEW HAMPSHIRE

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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