Wellformed AI

NPI 1396704763 · live from the CMS NPI Registry

Susan J Adrian, NP

Nurse Practitioner, Family in London, OH. National Provider Identifier 1396704763, active.

NPI record

NPI1396704763 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location55 Park Ave, Suite 230, London, OH 43140
Practice phone740-845-7600
Mailing addressPo Box 67250, Lincoln, NE 68506
EnumeratedMarch 22, 2006
Last updatedMay 24, 2010
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000XRN150849 (OH)
Nurse Practitioner, Family primary363LF0000XNP00603 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.