National Provider Identifier
Susan Jane Ponivas, RN, ANP
Susan Jane Ponivas, RN, ANP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-4333.
Profile Overview
- NPI
- 1467614230
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 01, 2008
- Last Updated
- November 11, 2021
Practice Location
- 602 Ivy St Fl 2
- Elmira, NY 14905-1646
Phone: (607) 737-4333
Mailing Address
- 709 N Justice St
- Ste A
- Hendersonville, NC 28791-3455
Specialties
- Nurse Practitioner (363L00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1467614230
- Entity Type
- Individual
- Last Name
- Ponivas
- First Name
- Susan
- Middle Name
- Jane
- Name Prefix
- Mrs.
- Credential
- RN, ANP
- Mailing Street Address
- 709 N Justice St
- Mailing Address Line 2
- Ste A
- Mailing City
- Hendersonville
- Mailing State
- NC
- Mailing ZIP Code
- 28791-3455
- Mailing Country
- US
- Mailing Phone
- (828) 697-7377
- Mailing Fax
- (828) 697-7380
- Practice Street Address
- 602 Ivy St Fl 2
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1646
- Practice Country
- US
- Practice Phone
- (607) 737-4333
- Practice Fax
- (607) 737-4271
- Enumeration Date
- July 01, 2008
- Last Updated
- November 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Nurse Practitioner (363L00000X)
- Other Identifiers
- 04652273 (NY)