National Provider Identifier

Susan Eustace

Susan Eustace is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 733-4504.

NPI 1598948820Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1598948820
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 10, 2007
Last Updated
January 29, 2010

Practice Location

  • 1300 College Ave Ste 3
  • Elmira, NY 14901-1154

Phone: (607) 733-4504

Mailing Address

  • 106 Daffodil Dr
  • Horseheads, NY 14845-1806

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1598948820
Entity Type
Individual
Last Name
Eustace
First Name
Susan
Mailing Street Address
106 Daffodil Dr
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1806
Mailing Country
US
Practice Street Address
1300 College Ave Ste 3
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1154
Practice Country
US
Practice Phone
(607) 733-4504
Enumeration Date
December 10, 2007
Last Updated
January 29, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)