Susan Anderson, MSN APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI 1467418145 · NPPES record last updated Feb 16, 2012
Key facts
- NPI
- 1467418145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP1468 (AZ)
- Practice address
- 1232 E Broadway Rd
Ste 120
Tempe, AZ 85282 - Phone
- (480) 784-1514
- Fax
- (480) 967-3528
- NPI assigned
- Apr 22, 2006
- 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)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1468 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP1468 | AZ | Yes |
Addresses
Primary practice location
1232 E Broadway Rd
Ste 120
Tempe, AZ 85282
Mailing address
1232 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 784-1514
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN063820 | Other | AZ | BOARD OF NURSING |
| AP1468 | Other | AZ | BOARD OF NURSING |
Other names
- Ms. Susan Scolia
Other providers in Tempe, AZ
- Lorre Royanne Anderson
- Marlayna Ashley Anderson
- Rachel L Anderson
- Roxie Anderson
- Sarah Elizabeth Anderson
- Susan Valerie Anderson
- Andreas Xagoraris MD PLLC
- Alan J Andresen
- John Jacob Andreson
- Andrew B Mangum MD PLLC
All providers in Tempe, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2012. 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.