Individual provider · Type 1 NPI
Susan Yvonne Pridgen, A.T.C.-L
Specialist · Raleigh, NC
NPI number
1306809959
Active
Practice location
8409 Leesville Rd
Raleigh, NC 27613-1004
Mailing address
8308 Amber Lantern St, Apt 302
Raleigh, NC 27613-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1306809959
Susan Yvonne Pridgen, A.T.C.-L's National Provider Identifier is 1306809959, issued on Apr 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 13, 2026.