SUSAN RAE CARR FNP-BC NPI 1932414364

NPI Information

NPI: 1932414364
Provider Name: SUSAN RAE CARR, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
135 S PENN AVE
HARRISVILLE, WV
ZIP 26362
Phone: (304) 643-4005
Get Directions

Susan Rae Carr, FNP-BC is a family nurse practitioner in Harrisville, WV with 15 years of experience. Susan Rae Carr, FNP-BC NPI is 1932414364. 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:

135 S PENN AVE
HARRISVILLE, WV
ZIP 26362-371
Phone: (304) 643-4005
Fax: (304) 643-4007

The NPI 1932414364 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 8/10/2010 and was last updated on 1/8/2014.

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	363LF0000X	Nurse Practitioner	Family	55537	WEST VIRGINIA	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	WV2953A	MEDICARE OSCAR/CERTIFICATION
2	3810018904	MEDICAID	WEST VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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