Basic Information
Provider Information
NPI: 1578991766
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRY
FirstName: SUSANNE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E CARROLL ST
Address2:  
City: SALISBURY
State: MD
PostalCode: 218015422
CountryCode: US
TelephoneNumber: 4105466400
FaxNumber:  
Practice Location
Address1: 400 EASTERN SHORE DR
Address2:  
City: SALISBURY
State: MD
PostalCode: 218045513
CountryCode: US
TelephoneNumber: 4105438240
FaxNumber: 4105438640
Other Information
ProviderEnumerationDate: 10/24/2013
LastUpdateDate: 07/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SF0001XR173333MDN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
363LF0000XR173333MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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