Individual provider · Type 1 NPI

Sused Hidalgo

Psychiatric/Mental Health Nurse Practitioner · Pembroke Pines, FL

NPI number 1790303485 Active

Practice location

2010 NW 150th Ave Ste 120
Pembroke Pines, FL 33028-2888

Mailing address

5656 W 25th Ct
Hialeah, FL 33016-4402

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X11007271 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11007271 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790303485

Sused Hidalgo's National Provider Identifier is 1790303485, issued on Jul 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pembroke Pines, FL. The record was last updated on Dec 12, 2023.