National Provider Identifier

Susan Diane Nitschke, NP, RN, MSN, CS, CASAC

Susan Diane Nitschke, NP, RN, MSN, CS, CASAC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Elmira, NY and a listed phone number of (607) 733-5696.

NPI 1346289360Elmira, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1346289360
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
June 05, 2006
Last Updated
July 08, 2007

Practice Location

  • 1019 E Water St
  • Elmira, NY 14901-3332

Phone: (607) 733-5696

Mailing Address

  • 213 North St
  • Apt. 8
  • Horseheads, NY 14845-2166

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1346289360
Entity Type
Individual
Last Name
Nitschke
First Name
Susan
Middle Name
Diane
Name Prefix
MS.
Credential
NP, RN, MSN, CS, CASAC
Mailing Street Address
213 North St
Mailing Address Line 2
Apt. 8
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-2166
Mailing Country
US
Mailing Phone
(607) 739-1697
Practice Street Address
1019 E Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3332
Practice Country
US
Practice Phone
(607) 733-5696
Enumeration Date
June 05, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)