Provider Demographics
NPI:1235878489
Name:NAHHAS, SUSAN (PMHNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:NAHHAS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:FERRARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 S EDWIN C MOSES BLVD FL PLACE4
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 S EDWIN C MOSES BLVD FL PLACE4
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3424
Practice Address - Country:US
Practice Address - Phone:937-734-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031438363LP0808X
NV859684363LP0808X
OHRN.343659363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health