Provider Demographics
NPI:1538110184
Name:REUL, SUSAN MARIE (NP, RN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:REUL
Suffix:
Gender:F
Credentials:NP, RN
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:SCHAFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP, RN
Mailing Address - Street 1:222 E OHIO ST
Mailing Address - Street 2:WULSIN BLDG 7TH FLOOR
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2193
Mailing Address - Country:US
Mailing Address - Phone:317-275-8800
Mailing Address - Fax:317-634-0153
Practice Address - Street 1:222 E OHIO ST
Practice Address - Street 2:WULSIN BLDG 7TH FLOOR
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2193
Practice Address - Country:US
Practice Address - Phone:317-275-8800
Practice Address - Fax:317-634-0153
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001663A363LP0808X
IN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN945350DDMedicare ID - Type Unspecified
IN03635Medicare UPIN