Individual provider · Type 1 NPI

Susan Ann Addie, N.P.

Nurse Practitioner · Tyler, TX

NPI number 1083596118 Active

Practice location

700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1206581 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083596118

Susan Ann Addie, N.P.'s National Provider Identifier is 1083596118, issued on Jul 21, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Jul 21, 2025.