SUSAN M DUNGAN NP NPI 1780751479

NPI Information

NPI: 1780751479
Provider Name: SUSAN M DUNGAN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1811 E BERT KOUNS
SUITE 100
SHREVEPORT, LA
ZIP 71105
Phone: (318) 222-3695
Get Directions

Susan M Dungan, NP is an acute care nurse practitioner in Shreveport, LA. Susan M Dungan, NP NPI is 1780751479. 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:

1811 E BERT KOUNS
SUITE 100
SHREVEPORT, LA
ZIP 71105
Phone: (318) 222-3695
Fax: (318) 424-0717

The NPI 1780751479 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/17/2009.

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	363LA2100X	Nurse Practitioner	Acute Care	RN089268 AP04806	LOUISIANA	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
1	Q75804	MEDICARE UPIN
2	1409537	MEDICAID	LOUISIANA
3	3A023D252	MEDICARE PIN	LOUISIANA

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

NPI Synchronization or Removal

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