Susanna Bradbury
Individual provider Active NPI Case Manager/Care Coordinator · Gallipolis, OH
NPI 1689417289 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1689417289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 300 Holly LN
Gallipolis, OH 45631-1672 - Phone
- (740) 773-4366
- NPI assigned
- Jun 13, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
300 Holly LN
Gallipolis, OH 45631-1672
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other providers in Gallipolis, OH
- Franklin Bowles
- Jennianne Marie Bowman
- Shannon Elizabeth Bowyer
- Corinne Boyer
- Mary T Bracey
- Deandra Braden
- Jaden N Bradley
- Robert S Bradley
- John Robert Brandenburg
- Rebecca Ann Brauch
All providers in Gallipolis, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. 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.