Provider Demographics
NPI:1699976027
Name:CONSTANTINE, SUSAN ANGELA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ANGELA
Last Name:CONSTANTINE
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:4597 VESPASIAN COURT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7215
Mailing Address - Country:US
Mailing Address - Phone:561-642-1776
Mailing Address - Fax:561-642-1776
Practice Address - Street 1:5200 EAST AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-841-1057
Practice Address - Fax:561-841-1099
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL2036692363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner