National Provider Identifier
Susan M. Koomen, NP
Susan M. Koomen, NP is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 275-5823.
Profile Overview
- NPI
- 1346313467
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 16, 2006
- Last Updated
- July 07, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-5823
Mailing Address
- Box 704
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Specialties
- Registered Nurse (163W00000X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- skoomen80678@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1346313467
- Entity Type
- Individual
- Last Name
- Koomen
- First Name
- Susan
- Middle Name
- M.
- Name Prefix
- Mrs.
- Credential
- NP
- Provider Other Last Name
- Moore
- Provider Other First Name
- Susan
- Provider Other Middle Name
- Elizabeth
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- AOCNP, FNP-CS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Box 704
- Mailing Address Line 2
- 601 Elmwood Ave.
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5823
- Mailing Fax
- (585) 273-1031
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5823
- Practice Fax
- (585) 273-1031
- Enumeration Date
- November 16, 2006
- Last Updated
- July 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Medical Physician Assistant (363AM0700X)