NPI 1124047642 · live from the CMS NPI Registry
Sue A Badera, N.P.
Nurse Practitioner in Saratoga Springs, NY. National Provider Identifier 1124047642, active.
NPI record
| NPI | 1124047642 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1 West Ave Ste 230, Saratoga Springs, NY 12866 |
| Practice phone | 518-583-5300 |
| Mailing address | 43 Smith Rd, Newport, RI 02841 |
| Enumerated | July 18, 2006 |
| Last updated | June 1, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 333701 (NY) |
| Registered Nurse, General Practice | 163WG0000X | 333701 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.