Individual provider · Type 1 NPI
Susan Southerton, RN
Administrator Registered Nurse · Liberty, NY
NPI number
1003327875
Active
Practice location
256 Sunset Lake Rd
Liberty, NY 12754-2847
Fax (845) 513-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 420717-1 (NY) |
Administrator Registered Nurse: Definition to come...
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About NPI 1003327875
Susan Southerton, RN's National Provider Identifier is 1003327875, issued on Oct 19, 2017. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Liberty, NY. The record was last updated on Oct 19, 2017.