Provider Demographics
NPI:1972742047
Name:PLAYER, SUSAN ELIZABETH (APRN-BC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:PLAYER
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:ELIZBETH
Other - Last Name:PLAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:5965 PARKWAY NORTH BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1430
Mailing Address - Country:US
Mailing Address - Phone:770-475-8014
Mailing Address - Fax:770-886-0404
Practice Address - Street 1:5965 PARKWAY NORTH BLVD
Practice Address - Street 2:STE C
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1430
Practice Address - Country:US
Practice Address - Phone:770-475-8014
Practice Address - Fax:770-886-0404
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN190060364SP0813X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Geropsychiatric