NPI 1447447008 · live from the CMS NPI Registry
Susan Walsh Ade, APRN, RN
Clinical Nurse Specialist, Gerontology in Shelton, CT. National Provider Identifier 1447447008, active.
NPI record
| NPI | 1447447008 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Nurse Specialist, Gerontology 364SG0600X |
| Practice location | 110 Commerce Dr, Shelton, CT 06484 |
| Practice phone | 203-929-7331 |
| Mailing address | 67 Maple Ave, Derby, CT 06418 |
| Enumerated | September 27, 2007 |
| Last updated | February 26, 2021 |
| Sole proprietor | No |
| Other names | Susan Grant |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology | 363LG0600X | 001755 (CT) |
| Clinical Nurse Specialist, Gerontology primary | 364SG0600X | 001755 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.