Provider Demographics
NPI:1033732375
Name:BATTEN, SUSAN WG (PHD APRN CNS FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:WG
Last Name:BATTEN
Suffix:
Gender:F
Credentials:PHD APRN CNS FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5946 SWEETWATER CT
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1023
Mailing Address - Country:US
Mailing Address - Phone:419-861-0023
Mailing Address - Fax:
Practice Address - Street 1:5946 SWEETWATER CT
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1023
Practice Address - Country:US
Practice Address - Phone:419-861-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0029303363LF0000X
OHAPRN.CNS.02752364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily