Susan Elizabeth Bigley, FNP
Individual provider Active NPI Family Nurse Practitioner · Polacca, AZ
NPI 1538207410 · NPPES record last updated Oct 21, 2013
Key facts
- NPI
- 1538207410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP1147 (AZ)
- Practice address
- Hwy 264 MP 388
Polacca, AZ 86042 - Phone
- (928) 737-6000
- NPI assigned
- Feb 2, 2007
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1147 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sedona Psychiatry | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
222 E Birch Ave
Flagstaff, AZ 86001
Phone (928) 232-4220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1147 | AZ | Yes |
Addresses
Primary practice location
Hwy 264 MP 388
Polacca, AZ 86042
Mailing address
56 Pine del Dr
Flagstaff, AZ 86001-9603
Phone (928) 213-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543498 | Medicaid | AZ | |
| 8H256D | Other | AZ | PROVIDER |
Other providers in Polacca, AZ
- Pamela L. Bahler
- Theresa K Barrick
- Elizabeth M Bayley
- Fredrick Bedoni
- Petra Bennefield
- Yolanda Bydonie
- Micaela Elise Campbell
- Kayla Carrillo
- Marjorie Chinnock
- Korel Leshaun Chisley
All providers in Polacca, AZ · Family 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 Oct 21, 2013. 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.