Susan Herbstritt
Individual provider Active NPI Licensed Practical Nurse · Kayenta, AZ
NPI 1154744811 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1154744811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN259312L (PA)
- Practice address
- Hwy160/163, BLDG Ka 2010
Kayenta, AZ 86033-0368 - Phone
- (928) 697-4110
- Fax
- (928) 697-4083
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN259312L | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN259312L | PA | Yes |
Addresses
Primary practice location
Hwy160/163, BLDG Ka 2010
Kayenta, AZ 86033-0368
Mailing address
Hwy160/163, BLDG Ka 2010
Kayenta, AZ 86033-0368
Phone (928) 697-4110
Other providers in Kayenta, AZ
- Christy Harrison
- Mary Laurence Hebert
- Helping Hands Home Care
- Helping Hands Home Care, LLC
- Melodye Hennings
- Kerrilene Joy Herder
- Jacqueline J. Hinde
- Wynema Holmes
- Mary H Hope
- Alan Itzen
All providers in Kayenta, AZ · Licensed Practical Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.