Susan L Drust NP PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4704168366 Issued in MI

Legal business name

SUSAN L DRUST NP PLLC

Practice address

296 Seminole Rd
Norton Shores, MI 49444-3733

Phone

(231) 740-0914

NPI assigned

Nov 21, 2016

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Anne Nyblade

Title

Practice Administrator

Phone

(231) 740-0914

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1558804674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443733",
            "telephone_number": "231-375-5251",
            "fax_number": "231-375-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443733",
            "telephone_number": "231-740-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L DRUST NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "NYBLADE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-740-0914"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704168366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Stressman
• Jaclyn Suchecki, SLP
• Brenda Summers, LPC
• Kimberly Summerville
• Susan L Drust NP PLLC
• Cecilia Joyce Swanson
• Brooklyn Michelle Sweezer, PTA
• Tammy M. Walker, LMSW, PLLC
• Taryn K. Harreld, D.D.S., M.S., PC
• Charlotte Rose Tatangelo, FNP-C

• Primary Care Clinic/Center in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.