Individual provider · Type 1 NPI
Susan Mary Killam, RN, MSN, NP
Nurse Practitioner · Charlevoix, MI
Practice location
Northwest Michigan Community Health Agency, 220 W. Garfield Street
Charlevoix, MI 49720
Fax (231) 547-6238
Mailing address
107 Wood St
Charlevoix, MI 49720-1626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704087772 (MI) |
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 1629191648
Susan Mary Killam, RN, MSN, NP's National Provider Identifier is 1629191648, issued on Apr 6, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlevoix, MI. The record was last updated on Jul 8, 2007.