Provider Demographics
NPI:1568701746
Name:WEEKS, SUSAN K (FNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:K
Last Name:WEEKS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:K
Other - Last Name:JANESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 M 32 W STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-8210
Mailing Address - Country:US
Mailing Address - Phone:989-354-0860
Mailing Address - Fax:
Practice Address - Street 1:1691 M 32 W STE 300
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-8210
Practice Address - Country:US
Practice Address - Phone:989-354-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704141892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily