Provider Demographics
NPI:1538053400
Name:SUSAN N GRAMMATICO DNP FNP LLC
Entity type:Organization
Organization Name:SUSAN N GRAMMATICO DNP FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRAMMATICO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP
Authorized Official - Phone:860-488-4863
Mailing Address - Street 1:15 OLD PARK LANE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2530
Mailing Address - Country:US
Mailing Address - Phone:860-488-4863
Mailing Address - Fax:833-974-4934
Practice Address - Street 1:15 OLD PARK LANE RD STE 100
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2530
Practice Address - Country:US
Practice Address - Phone:860-488-4863
Practice Address - Fax:833-974-4934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty