Individual provider · Type 1 NPI

Susan Ranae Swatsworth, PA

Medical Physician Assistant · Watertown, NY

NPI number 1164434965 Active

Practice location

1575 Washington St
Watertown, NY 13601-9371

Fax (315) 786-7310

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XA354 (SC)
Medical Physician Assistant 363AM0700X101592 (NC)
Medical Physician Assistant Primary 363AM0700X016504 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1164434965

Susan Ranae Swatsworth, PA's National Provider Identifier is 1164434965, issued on Aug 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watertown, NY. The record was last updated on Mar 23, 2020.