National Provider Identifier
Susan E Nielsen, CDE, NP
Susan E Nielsen, CDE, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 887-4069.
Profile Overview
- NPI
- 1568459832
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- October 03, 2005
- Last Updated
- July 08, 2007
Practice Location
- 3 Gates Cir
- Diabetes Center Of Wny
- Buffalo, NY 14209-1120
Phone: (716) 887-4069
Mailing Address
- 1386 Tanglewood Dr
- North Tonawanda, NY 14120-2357
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1568459832
- Entity Type
- Individual
- Last Name
- Nielsen
- First Name
- Susan
- Middle Name
- E
- Name Prefix
- MS.
- Credential
- CDE, NP
- Mailing Street Address
- 1386 Tanglewood Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2357
- Mailing Country
- US
- Practice Street Address
- 3 Gates Cir
- Practice Address Line 2
- Diabetes Center Of Wny
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1120
- Practice Country
- US
- Practice Phone
- (716) 887-4069
- Practice Fax
- (716) 887-4773
- Enumeration Date
- October 03, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)