MRS. SUSAN TERRY MALAND-LUDEWIG


Address: 11209 N Tatum Blvd Ste 255, Phoenix, AZ 85028-6025
Phone: 6024945050

MRS. SUSAN TERRY MALAND-LUDEWIG (NPI# 1972794246) 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) 1972794246
Entity Type Individual
Full Name MRS. SUSAN TERRY MALAND-LUDEWIG
Credential WHNP
Practice Address 11209 N Tatum Blvd Ste 255
Phoenix
AZ 85028-6025
Practice Telephone 6024945050
Mailing Telephone 6024945050
Enumeration Date 2007-08-01
Last Update Date 2010-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
AP2772 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11209 N TATUM BLVD STE 255
City PHOENIX
State AZ
Zip Code 85028-6025

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1154840304 Faustino M. Gonzalez, Md PC Anesthesiology 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 2017-09-19
1679092514 Savior Palliative Care LLC Family Medicine 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 2017-09-12
1437688892 Harmony Behavioral Health Behavioral Analyst 3008 E Sierra St, Phoenix, AZ 85028 2017-06-08
1275949224 Alexander D Garza Podiatrist 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 2014-07-09
1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
1932534476 Stephen Howard Garber Otolaryngology 9607 N. 43rd Way, Phoenix, AZ 85028 2013-09-03
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1285930925 Cathy Ann Payne Nurse Practitioner 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 2011-01-27
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689926800 Ashley Renee Torrey Fisher Nurse Practitioner 10240 West Indian School Road, 140, Phoenix, AZ 85037-5904 2012-10-11
1225395726 Evelyn R Lopez Nurse Practitioner 9520 W Palm Ln Ste 200, Phoenix, AZ 85037-4403 2012-04-20
1952592602 Dawn Marie Diaz Nurse Practitioner 3102 East Indian School Park, Suite 130 Gynecologic Solutions, Phoenix, AZ 85016-6872 2007-08-07
1326645318 Sarah Helen Green Nurse Practitioner 202 E Morris Dr, Phoenix, AZ 85012-2323 2020-10-03
1861862989 Jennifer Anne Billingsley Nurse Practitioner 11209 N Tatum Blvd, Suite 255, Phoenix, AZ 85028 2015-10-01
1457720765 Rachel Kennamer Nurse Practitioner 303 E Baseline Rd, Phoenix, AZ 85042-6530 2015-09-16
1568890309 Alice Mae Baluha Nurse Practitioner 635 E Baseline Rd, Phoenix, AZ 85042-6551 2013-10-14
1124460027 Kimberly Harshberger Nurse Practitioner 4751 N 15th St, Phoenix, AZ 85014-3707 2013-07-22
1679852362 Whitney D Padgett Nurse Practitioner 1313 E Osborn Rd, Suite 250, Phoenix, AZ 85014-5678 2011-08-11
1255570859 Carla Denise Rouse-smith Nurse Practitioner 5651 N 7th St, Phoenix, AZ 85014-2500 2009-02-05
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Competitor

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City PHOENIX
Zip Code 85028

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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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