Provider Demographics
NPI:1659526853
Name:SLOSS, SUSAN MCVEY (NP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MCVEY
Last Name:SLOSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:MCVEY
Other - Last Name:SLOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10330 N MERIDIAN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2354 W. BOULEVARD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902
Practice Address - Country:US
Practice Address - Phone:765-457-4800
Practice Address - Fax:765-454-7686
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002850A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily