Susanne Atkins, PA-C
Individual provider Active NPI Medical Physician Assistant · New Haven, CT
NPI 1821219783 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821219783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 000410 (CT)
- Practice address
- 175 Sherman Avenue
New Haven, CT 06511 - Phone
- (203) 789-3721
- NPI assigned
- May 1, 2007
- 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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000410 | CT | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000410 | CT | Yes |
Addresses
Primary practice location
175 Sherman Avenue
New Haven, CT 06511
Mailing address
655 Reef Road
Fairfield, CT 06824
Phone (203) 259-0354
Other providers in New Haven, CT
- Diana Athonvarangkul
- Sherry A. Atiemo
- Ruben Atilano Jr.
- Cem Atillasoy
- Rosalind Atkins
- Audrey Ann Atkinson
- Jorunn Atladottir
- Atlantic Health Services PC
- Stephen A. Atlas
- Prashanth Atluri
All providers in New Haven, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.