Provider Demographics
NPI:1013390210
Name:SZUCS, KATHERINE DANIELLE (APN)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DANIELLE
Last Name:SZUCS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:DANIELLE
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-919-8272
Mailing Address - Fax:
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-2249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY646044-1163WC0200X
NJ26NR14862200163WI0500X
NYF340409363L00000X
390200000X
NJ26NJ00640100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program