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MS. SUSAN M. NORDSTROM RN NPI 1518147248


NPI Information

NPI: 1518147248
Provider Name: MS. SUSAN M. NORDSTROM, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
67 DUTCH HOLLOW DR
ORANGEBURG, NY
ZIP 10962
Phone: (845) 629-9900
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MS. Susan M. Nordstrom, RN is a general practice registered nurse in Orangeburg, NY. MS. Susan M. Nordstrom, RN NPI is 1518147248. 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:

67 DUTCH HOLLOW DR
ORANGEBURG, NY
ZIP 10962
Phone: (845) 629-9900
Fax: (845) 613-7809

The enumeration date for this NPI number is 11/9/2007 and was last updated on 1/20/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse470128-1NEW YORKNo
2163W00000XRegistered Nurse470128NEW YORKNo
3163WC0400XRegistered NurseCase Management470128NEW YORKNo
4163WC1500XRegistered NurseCommunity Health470128-1NEW YORKNo
5163WC1500XRegistered NurseCommunity Health470128NEW YORKNo
6163WC3500XRegistered NurseCardiac Rehabilitation470128NEW YORKNo
7163WG0000XRegistered NurseGeneral Practice470128-1NEW YORKYes
8163WG0000XRegistered NurseGeneral Practice470128NEW YORKNo
9163WH0200XRegistered NurseHome Health470128NEW YORKNo
10163WH1000XRegistered NurseHospice470128NEW YORKNo
11163WI0500XRegistered NurseInfusion Therapy470128-1NEW YORKNo
12163WI0500XRegistered NurseInfusion Therapy470128NEW YORKNo
13163WN1003XRegistered NurseNutrition Support470128NEW YORKNo
14163WP0808XRegistered NursePsychiatric/Mental Health470128NEW YORKNo
15163WP2201XRegistered NurseAmbulatory Care470128NEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101785148MEDICAIDNEW YORK

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

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.