Provider Demographics
NPI:1033470570
Name:FERRARO, SUSAN W (RN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:W
Last Name:FERRARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5231 PENN AVE
Mailing Address - Street 2:CHAMPION COMMONS BUILDING 2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1768
Mailing Address - Country:US
Mailing Address - Phone:412-246-5415
Mailing Address - Fax:412-204-9133
Practice Address - Street 1:5231 PENN AVE
Practice Address - Street 2:CHAMPION COMMONS BUILDING 2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1768
Practice Address - Country:US
Practice Address - Phone:412-246-5415
Practice Address - Fax:412-204-9133
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN267158L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse