Provider Demographics
NPI:1316900681
Name:WARD, SUSAN E (MSN, APN-C)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:WARD
Suffix:
Gender:F
Credentials:MSN, APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 NEW RD
Mailing Address - Street 2:CENTRAL PARK EAST
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1282
Mailing Address - Country:US
Mailing Address - Phone:609-927-9790
Mailing Address - Fax:609-926-8796
Practice Address - Street 1:222 NEW RD
Practice Address - Street 2:CENTRAL PARK EAST
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1299
Practice Address - Country:US
Practice Address - Phone:609-927-9790
Practice Address - Fax:609-926-8796
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05359200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health