Sussanah Tabot, LPN
Individual provider Active NPI Licensed Practical Nurse · Ann Arbor, MI
NPI 1902277072 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1902277072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703098155 (MI)
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Oct 14, 2015
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703098155 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Heart That Cares, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703098155 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
7145 Colchester LN
Ypsilanti, MI 48197-1871
Phone (678) 777-9767
Other providers in Ann Arbor, MI
- Christina Ta
- Tasneem Tabateh
- James Tabeling
- Megan Tabers
- Michael James Tabor
- Michael Tacia
- Sara June Tackett
- Lindsay Tactac
- Valerie Taglione
- Hussein Tahanulqiwa
All providers in Ann Arbor, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. 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.