Provider Demographics
NPI:1275367542
Name:DAUER, SUSAN MARIA (RN, IBCLC, BSN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIA
Last Name:DAUER
Suffix:
Gender:F
Credentials:RN, IBCLC, BSN
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:MARIA
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 BUTTRICK RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-5143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 BUTTRICK RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-5143
Practice Address - Country:US
Practice Address - Phone:617-501-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH075350-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty