Individual provider · Type 1 NPI
Susanne Roggow, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Warsaw, NY
NPI number
1568890655
Active
Practice location
39 Duncan St
Warsaw, NY 14569-1017
Fax (585) 786-0196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 658075 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403777 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1568890655
Susanne Roggow, PMHNP-BC's National Provider Identifier is 1568890655, issued on Oct 29, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Warsaw, NY. The record was last updated on Jan 19, 2022.