MRS. SUSAN ELLEN NIMMO


Address: 34924 B Sterling Hwy, Sterling, AK 99672
Phone: 9072607729

MRS. SUSAN ELLEN NIMMO (NPI# 1205037223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205037223
Entity Type Individual
Full Name MRS. SUSAN ELLEN NIMMO
Credential FNP
Practice Address 34924 B Sterling Hwy
Sterling
AK 99672
Mailing Address Po Box 941
Sterling
AK 99672-0941
Practice Telephone 9072607729
Mailing Telephone 9072607729
Enumeration Date 2007-05-29
Last Update Date 2007-11-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
747 AK Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN NIMMO

NPI Name Taxonomy Address Enumeration
1386600518 Susan S. Nimmo Dentist 1600 Sw Archer Rd, D4-4, Gainesville, FL 32610-3003 2006-04-25

Office Location

Street Address 34924 B STERLING HWY
City STERLING
State AK
Zip Code 99672

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1366970857 Michele Zelaya Massage Therapist 113 Front St, Nome, AK 99672 2017-05-26
1427484419 Bonnie Smith Chore Provider 39065 Red Hill Street, Sterling, AK 99672 2013-09-23
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1861640013 Sunrise Mountain Assisted Living, Inc Assisted Living Facility 39160 Fairview St, Sterling, AK 99672 2008-08-29
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1770767949 Jamie Panzero Case Management 36745 Fueding Lane, Sterling, AK 99672 2007-12-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1689043465 Marie Natacha Francis Nurse Practitioner 71 Heywood Rd, Sterling, USA 01564 2015-09-22
1861818296 Whitney L Jankoska Nurse Practitioner 1269 N Gavord Rd, Sterling, MI 48659-9703 2014-03-10
1275667388 Allison T Hubbard Nurse Practitioner 46440 Benedict Dr Ste 208, Sterling, VA 20164-6602 2007-03-14
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Competitor

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City STERLING
Zip Code 99672

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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