Individual provider · Type 1 NPI
Susan Doctolero, NPC
Nurse Practitioner · Lubbock, TX
Practice location
3506 21st St, Suite 302
Lubbock, TX 79410-1212
Fax (806) 723-6095
Mailing address
3601 4th St
Lubbock, TX 79430-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP122715 (TX) |
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 1770829012
Susan Doctolero, NPC's National Provider Identifier is 1770829012, issued on Dec 13, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lubbock, TX. The record was last updated on Nov 19, 2018.