Provider Demographics
NPI:1629059266
Name:ROOKS, SUSAN LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:LYNN
Last Name:ROOKS
Suffix:
Gender:F
Credentials:APRN
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Other - Credentials:
Mailing Address - Street 1:11 WHITEHALL ROAD
Mailing Address - Street 2:FRISBIE MEMORIAL HOSPITAL
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867
Mailing Address - Country:US
Mailing Address - Phone:603-332-5211
Mailing Address - Fax:603-335-2420
Practice Address - Street 1:2531 WHITE MOUNTAIN HIGHWAY, SUITE A
Practice Address - Street 2:WHITE MOUNTAIN MEDICAL CENTER
Practice Address - City:SANBORNVILLE
Practice Address - State:NH
Practice Address - Zip Code:03872
Practice Address - Country:US
Practice Address - Phone:603-994-6465
Practice Address - Fax:603-522-3457
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-10-21
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Provider Licenses
StateLicense IDTaxonomies
NH036220-23-03363LF0000X
NHACP 189171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P55002Medicare UPIN
NHNP3754Medicare PIN