Individual provider · Type 1 NPI
Susan Rae Priddy, RN
Administrator Registered Nurse · Crestview, FL
NPI number
1639923592
Active
Practice location
1200 E James Lee Blvd
Crestview, FL 32539-3126
Mailing address
6192 Brighton Ln
Milton, FL 32570-7789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 9207254 (FL) |
Administrator Registered Nurse: Definition to come...
4 other providers at this address
About NPI 1639923592
Susan Rae Priddy, RN's National Provider Identifier is 1639923592, issued on Apr 16, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Crestview, FL. The record was last updated on Apr 16, 2024.