NPI 1477529600 · live from the CMS NPI Registry
Susan Margaret Bacheller, CPNP
Nurse Practitioner, Pediatrics in Fort Gratiot, MI. National Provider Identifier 1477529600, active.
NPI record
| NPI | 1477529600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4190 24th Ave Ste 204, Fort Gratiot, MI 48059 |
| Practice phone | 810-216-1000 |
| Enumerated | February 27, 2006 |
| Last updated | April 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704136802 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.