Provider Demographics
NPI:1235817974
Name:PINSON, SUSANNA (APRN)
Entity Type:Individual
Prefix:
First Name:SUSANNA
Middle Name:
Last Name:PINSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 DEARBORN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NH
Mailing Address - Zip Code:03032-3406
Mailing Address - Country:US
Mailing Address - Phone:603-557-4811
Mailing Address - Fax:
Practice Address - Street 1:270 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2308
Practice Address - Country:US
Practice Address - Phone:603-664-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH081253-23208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine