| NPI | 1245580661 |
|---|---|
| Other Name | SUSAN M DEARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5272910-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 1218A) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-04-10 |