Susan J Bolton, RN
Individual provider Active NPI School Registered Nurse · Chestertown, NY
NPI 1396014775 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1396014775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 332492-1 (NY)
- Practice address
- 6110 State Route 8
Chestertown, NY 12817-2417 - Phone
- (518) 494-3015
- Fax
- (518) 494-4601
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332492-1 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Warren Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 332492-1 | NY | Yes |
Addresses
Primary practice location
6110 State Route 8
Chestertown, NY 12817-2417
Mailing address
6110 State Route 8
Chestertown, NY 12817-2417
Phone (518) 494-3015
Other providers in Chestertown, NY
- Jessica Ella Armstrong
- Barbara Boggia
- Brant Lake Taxi & Transport Service Inc
- Harriet Busch
- David Carpenter
- Sarah B Durkee
- Garnet Physical Therapy PLLC
All providers in Chestertown, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. 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.